Murphy T P, Brackmann D E
Department of Otolaryngology, Fort Sam Houston, Texas 78234.
Laryngoscope. 1989 Dec;99(12):1244-7. doi: 10.1288/00005537-198912000-00007.
The charts of 35 patients were reviewed retrospectively to determine the effects of embolization on glomus jugulare tumors. Eighteen patients underwent embolization; 17 did not. All tumors were removed with a type A infratemporal fossa approach. The charts were evaluated for operative blood loss, operative time, length of hospitalization, new postoperative cranial nerve deficits and recurrence of tumor. Embolized patients had significantly less operative blood loss and operative time. Embolization did not affect length of hospitalization or reduce the incidence of new postoperative cranial nerve deficits. The surgeon's experience also plays a central role in reducing operative blood loss and operative time. The potential risks of embolization must be considered in the treatment regimen of glomus jugulare tumors.
回顾性分析35例患者的病历，以确定栓塞术对颈静脉球瘤的影响。18例患者接受了栓塞术，17例未接受。所有肿瘤均采用A型颞下窝入路切除。评估病历中的手术失血量、手术时间、住院时间、术后新发颅神经功能缺损及肿瘤复发情况。接受栓塞术的患者手术失血量和手术时间明显减少。栓塞术不影响住院时间，也未降低术后新发颅神经功能缺损的发生率。外科医生的经验在减少手术失血量和手术时间方面也起着核心作用。在颈静脉球瘤的治疗方案中必须考虑栓塞术的潜在风险。
