Heis Hussein A, Bani-Hani Kamal E
Department of Surgery, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
Int Surg. 2003 Oct-Dec;88(4):226-30.
We present our approach to the management of patients with carotid body tumors, emphasizing the role of magnetic resonance angiography for the identification of these tumors. Medical records of all patients with carotid body tumors who were managed between 1991 and 2001 were retrospectively reviewed. Nine patients with carotid body tumors were identified. There were four males and five females, ranging in age from 28 to 74 years. Duplux scanning, computed tomography (CT) scanning, and angiography were performed for seven patients, whereas Duplux and magnetic resonance angiography were performed for the remaining two patients. Eight patients underwent successful excision of the tumor. Neither postoperative deaths nor strokes occurred. Temporary cranial nerve injury occurred in two patients. One patient developed local recurrence 5 years later. Early diagnosis of carotid body tumors with Duplex and magnetic resonance angiography is possible. Early surgery for carotid body tumors minimizes the risk of complications associated with large tumors.
我们介绍了对颈动脉体瘤患者的管理方法，强调磁共振血管造影在识别这些肿瘤中的作用。对1991年至2001年间接受治疗的所有颈动脉体瘤患者的病历进行了回顾性研究。共识别出9例颈动脉体瘤患者。其中男性4例，女性5例，年龄在28至74岁之间。7例患者进行了双功扫描、计算机断层扫描（CT）和血管造影，其余2例患者进行了双功扫描和磁共振血管造影。8例患者成功切除肿瘤。术后既无死亡病例，也无中风发生。2例患者出现暂时性脑神经损伤。1例患者在5年后出现局部复发。通过双功扫描和磁共振血管造影可以早期诊断颈动脉体瘤。对颈动脉体瘤尽早进行手术可将与大肿瘤相关的并发症风险降至最低。
