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联合进路手术切除巨大颈静脉球体瘤
引用本文:蒋腊梅 刘季威. 联合进路手术切除巨大颈静脉球体瘤[J]. 中国耳鼻咽喉颅底外科杂志, 1999, 5(4): 217-219
作者姓名:蒋腊梅 刘季威
作者单位:湖南高等医学专科学校!中国湖南长沙410000(蒋腊梅),湖南医科大学附属湘雅医院耳鼻咽喉科!中国湖南长沙410008(刘季威,肖健云)
摘    要:目的:探讨巨大颈静脉球体瘤手术进路及治疗经验。方法:6例巨大颈静脉球体瘤,4例经三种不同联合进路手术治疗,其中3例术前行DSA检查及选择性血管栓塞术,1例术后残灶接受了辅助性放射治疗。结果:4例手术患者中,1例于术后4年因脑溢血死亡,但MRI及CT复查肿瘤未见复发;1例于术后4个复发;1例部分切除术后残灶于放疗后6个月复查无变化。结论:巨大颈静脉球体瘤联合进路术式有利完全切除肿瘤,而术前配合选择性

关 键 词:颈静脉球体瘤 外科手术 手术进路

RESECTION OF GIANT GLOMUS JUGULARE TUMORS BY COMBINED APPROACHES
Jiang Lamei,liu Jiwei,Xiao Jianyuan Hunan Medical Vocational Training School,ShangSha ,Hunan,China)[. RESECTION OF GIANT GLOMUS JUGULARE TUMORS BY COMBINED APPROACHES[J]. Chinese Journal of Otorhinolaryngology-skull Base Surgery, 1999, 5(4): 217-219
Authors:Jiang Lamei  liu Jiwei  Xiao Jianyuan Hunan Medical Vocational Training School  ShangSha   Hunan  China)[
Affiliation:Jiang Lamei,liu Jiwei,Xiao Jianyuan Hunan Medical Vocational Training School,ShangSha 41000,Hunan,China)[
Abstract:Objective: To evaluate the effects of surgical treatment of giant glomus jugulare tumors. Methods: Six cases of giant glomus jugulare tumors were reviewed. Threedifferent kinds of combined surgical approaches were selected and used in 4 of the 6 cases, and adjuvant therapies were investigated. Results: After the operation, one patient had no recurrence within 4 years before dying of brain bleeding; one had a recurrence after 4 years; the patient with residual tumor had no changes after taking radiotherapy for 6 months. Conclusion: Combinied surgical approaches allow complete resection of the tumor. And preoperative embolization is able to reduce the operation time and blood loss. Radiotherapy is able to control the residual tumor. [
Keywords:Glomus tumor Surgical approach Adjuvant therapy
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