Division of Vascular Surgery, West China Hospital, Sichuan University, Sichuan Province, China.
Head Neck. 2013 Jan;35(1):61-4. doi: 10.1002/hed.22915. Epub 2012 Jan 31.
This study was carried out to explore the use of an intraoperative shunt during surgical resection of complicated carotid body tumors (CBTs).
Of the 47 patients who underwent surgical resection for CBT, an intraoperative shunt was performed in 10 patients with complicated CBTs involving the carotid artery wall between January 2005 and August 2010, and their clinical materials were respectively reviewed.
No severe complications occurred intraoperatively and postoperatively in all the 10 patients with complicated CBTs involving the carotid artery wall. No recurrence and metastasis occurred during follow-up period for a mean of 35.3 months (range, 12-60 months).
An intraoperative shunt maintained cerebral circulation, decreased the size of tumor by excluding the vascular supply of the external carotid artery, and guided the resection of CBT. The intraoperative shunt was a safe and effective way during surgical resection of complicated CBTs.
本研究旨在探讨在复杂颈动脉体瘤（CBT）的手术切除中使用术中分流术的情况。
在 2005 年 1 月至 2010 年 8 月期间，对 47 例 CBT 患者进行了手术切除，其中 10 例涉及颈动脉壁的复杂 CBT 患者术中采用了分流术，分别回顾了他们的临床资料。
10 例涉及颈动脉壁的复杂 CBT 患者术中及术后均无严重并发症发生。平均随访 35.3 个月（12-60 个月），无复发和转移。
术中分流术维持了脑循环，通过排除颈外动脉的血管供应来缩小肿瘤大小，并指导 CBT 的切除。术中分流术是治疗复杂 CBT 的一种安全有效的方法。
