Simpson G T, Konrad H R, Takahashi M, House J
Arch Otolaryngol. 1979 Nov;105(11):639-43. doi: 10.1001/archotol.1979.00790230009002.
Preoperative percutaneous transfemoral catheter embolization of feeding vessels in glomus jugulare tumors, followed by immediate application of standard surgical techniques, presents the treatment of choice, allowing meticulous microsurgery with virtually complete hemostasis. Therefore, the surgeon can operate in a bloodless environment throughout the compressed and intricate anatomic field, amidst such important yet vulnerable structures as cranial nerves, inner ear, carotid artery, jugular bulb, venous sinuses, and dura, while reducing surgical error and functional deficit for the patient. Review of the last 11 cases of glomus jugulare tumors at UCLA shows that even extensive Alford grade 2 tumors of the middle ear, jugular bulb, and mastoid had only minor blood losses with this combined technique of embolization-immediate surgery, as compared with earlier surgical methods. Pertinent literature on glomus jugulare and its treatment is reviewed. Combined embolization and immediate surgery offer the best approach for treatment of resectable glomus jugulare tumors.
术前经皮股动脉导管栓塞颈静脉球瘤的供血血管，随后立即应用标准手术技术，是首选的治疗方法，可进行精细的显微手术，几乎实现完全止血。因此，外科医生能够在整个受压且复杂的解剖区域的无血环境中进行手术，周围环绕着诸如颅神经、内耳、颈动脉、颈静脉球、静脉窦和硬脑膜等重要但脆弱的结构，同时减少手术误差和患者的功能缺陷。对加州大学洛杉矶分校（UCLA）过去11例颈静脉球瘤病例的回顾显示，与早期手术方法相比，即使是中耳、颈静脉球和乳突的广泛阿尔福德2级肿瘤，采用这种栓塞 - 立即手术的联合技术，术中失血也很少。本文回顾了有关颈静脉球瘤及其治疗的相关文献。联合栓塞和立即手术为可切除的颈静脉球瘤提供了最佳治疗方法。
