Ogura J H, Spector G J, Gado M
Ann Otol Rhinol Laryngol. 1978 Sep-Oct;87(5 Pt 1):622-9. doi: 10.1177/000348947808700504.
The therapeutic results in 72 patients with glomus jugulare and nine with glomus vagale have indicated a surgical cure rate of 80% in the former and 100% in the latter. Radiotherapy demonstrated a 65% tumor response rate and a 25% cure rate histologically and clinically. Embolization with Gelfoam beads in seven patients resulted in diminished tumor size and arterial circulation from the external carotid system. However, in all cases the tumor persisted. Embolization diminished intraoperative bleeding. Nevertheless, the use of embolization as a palliative modality demonstrated significant symptomatic relief in aged, debilitated patients and in all patients with large inoperable glomus jugulare tumors.
72例颈静脉球瘤患者和9例迷走神经球瘤患者的治疗结果显示,前者的手术治愈率为80%,后者为100%。放射治疗在组织学和临床上显示出65%的肿瘤反应率和25%的治愈率。7例患者使用明胶海绵颗粒栓塞后,肿瘤大小减小,颈外动脉系统的动脉循环减少。然而,所有病例中的肿瘤均持续存在。栓塞减少了术中出血。尽管如此,对于老年、体弱患者以及所有患有无法手术切除的大型颈静脉球瘤的患者,栓塞作为一种姑息治疗方式可显著缓解症状。