Department of Vascular Surgery, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, People's Republic of China.
Department of Operation, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, People's Republic of China.
Head Neck. 2018 Dec;40(12):2590-2595. doi: 10.1002/hed.25387. Epub 2018 Nov 2.
The purpose of this study was to investigate the outcomes of surgical resection of carotid body tumors with and without preoperative embolization.
There were 31 patients who underwent surgical resection combined with preoperative embolization (SRE group), and 27 patients who underwent conventional surgical resection (SR group); all clinical data were included and reviewed.
There was no difference in the approach for carotid reconstruction in either group (P > .05). The mean surgical time (110.65 ± 35.77 minutes vs 188.33 ± 66.44 minutes) and intraoperative blood loss (140.32 ± 57.12 mL vs 396.43 ± 272.82 mL) were significantly less in the SRE group (P < .05). The volume of blood transfusions required (475 ± 301.18 mL vs 0 mL) and incidence rate of total complications (33.3% vs 9.7%) were higher in the SR group (P < .05). However, the length of hospital stay was similar in both groups (P > .05).
Our results demonstrate that preoperative embolization of a carotid body tumor can reduce blood loss and complications and improve tumor excision.
本研究旨在探讨颈动脉体瘤切除术联合术前栓塞与单纯手术切除的治疗效果。
共纳入 31 例行手术切除联合术前栓塞(SRE 组)和 27 例行常规手术切除(SR 组)的患者,所有临床资料均被纳入并进行了回顾性分析。
两组颈动脉重建的方式无差异(P >.05)。SRE 组的平均手术时间(110.65 ± 35.77 分钟 vs 188.33 ± 66.44 分钟)和术中出血量(140.32 ± 57.12 毫升 vs 396.43 ± 272.82 毫升)明显少于 SR 组(P <.05)。SR 组需要输血的量(475 ± 301.18 毫升 vs 0 毫升)和总并发症发生率(33.3% vs 9.7%)更高(P <.05)。但两组的住院时间相似(P >.05)。
我们的结果表明,颈动脉体瘤术前栓塞可以减少出血和并发症,提高肿瘤切除率。