摘要
目的 探讨颈动脉体瘤（CBT）诊断、手术治疗以及防治术后并发症的经验。方法整理15例CBT患者的病历资料，回顾性分析并加以总结。结果15例按照Shamblin分型，I型2例，Ⅱ型8例，Ⅱ型5例。术前影像学评估包括B超、CT、MRA，以及数字减影血管造影DSA、64排CT增强扫描结合血管成像CTA。行手术切除14例，手术方式包括伴或不伴颈外动脉切除的完整剥离；瘤体连同颈内-颈总动脉切除血管重建。术后病理检查均为良性。所有患者经3个月～9年4个月随访，出现单侧喉返神经麻痹2例，单侧舌下神经麻痹1例，单侧颈交感神经损伤1例，无脑血管意外及死亡，均无局部复发。结论64排CTA可作为CBT术前诊断、评估的首选方法。而正确诊断、周密完善的术前评估及合理的手术方案能减少术后严重并发症。
Objective To explore the carotid body tumor （CBT） diagnosis, surgical treatment, and prevention of postoperative complications. Methods The clinical data of 15 CBT patients were reviewed. Results According to Shambtin classification, there are 2 cases of type Ⅰ , 8 cases of type Ⅱ , and 5 cases of typeⅢ. Preoperative imaging evaluation included ultrasound, CT, MRA, and DSA, 64-row CT scan combined with CTA angiography. Among the patients, 14 cases underwent operation. The surgeries included total tumor removal with or without external carotid artery resection, and tumor removal with carotid artery resection and reconstruction. Postoperative pathological examina tions were all benign. All patients were followed up for 3-112 months. There were 2 cases of unilateral recurrent laryn geal nerve paralysis, 1 case of unilateral hypoglossal nerve palsy, and I case of unilateral cervical sympathetic nerve in jury. No cerebral vascular accident and death happened. No local recurrence. Conclusion The 64-row CTA is the pre fered method in the diagnosis, evaluation of carotid body tumor before operation. Correct diagnosis, thorough preopera tive evaluation and reasonable operation can reduce the risks of postoperative complications.
出处
《山东大学耳鼻喉眼学报》
CAS
2014年第2期62-64,71,共4页
Journal of Otolaryngology and Ophthalmology of Shandong University
