颈动脉体瘤的诊断与外科治疗：附18例报告
Diagnosis and surgical treatment of carotid body tumor: A report of 18 cases.
作者信息
Ma Dan, Liu Min, Yang Hua, Ma Xiaogan, Zhang Chaojun
机构信息
Department of General Surgery, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, P. R. China.
出版信息
J Cardiovasc Dis Res. 2010 Jul;1(3):122-4. doi: 10.4103/0975-3583.70905.
OBJECTIVE
To summarize the experience in the diagnosis and treatment of carotid body tumor (CBT).
MATERIALS AND METHODS
CBT in 18 cases was confirmed by digital subtraction angiography (DSA). Resection of the tumor under the carotid adventitial plane was performed in 10 cases, the tumor with the external carotid artery in five cases, and the tumor with the internal and external arteries at the same time in three cases.
RESULTS
Neither death nor any major complications occurred in all the 18 cases. Our follow-up of the 18 patients revealed neither recurrence nor metastasis.
CONCLUSION
DSA is the gold standard for the diagnosis of CBT. After confirmation, thorough preoperative examination, sufficient preoperative preparation, and correct surgical approaches can result in satisfactory surgical effects.
目的
总结颈动脉体瘤（CBT）的诊断与治疗经验。
材料与方法
18例CBT经数字减影血管造影（DSA）确诊。10例行肿瘤颈动脉外膜下平面切除术，5例行肿瘤与颈外动脉切除术，3例行肿瘤与颈内、外动脉同时切除术。
结果
18例均无死亡及严重并发症发生。18例患者随访均无复发及转移。
结论
DSA是CBT诊断的金标准。确诊后，完善的术前检查、充分的术前准备及正确的手术方式可取得满意的手术效果。
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