Ward P H, Liu C, Vinuela F, Bentson J R
Department of Surgery, UCLA School of Medicine 90024.
Laryngoscope. 1988 Dec;98(12):1287-91. doi: 10.1288/00005537-198812000-00002.
Small carotid body tumors that do not encircle the internal carotid artery are excised with relative ease and minimal risk by the conventional subadventicial approach. Large carotid body tumors frequently encircle the internal and external carotid arteries, and extensive bleeding often complicates the resection, increasing the risk of carotid artery rupture and damage to major cranial nerves. Recent improvements in surgical techniques and selective embolization have lessened the risks of surgical excision, decreased the blood loss, and diminished the time required for resection. Experiences in the resection of carotid tumors with and without embolization are compared. Early resection of carotid body tumors, before involvement of the internal carotid artery and carotid bulb, is advocated.
未环绕颈内动脉的小型颈动脉体瘤，通过传统的外膜下方法相对容易切除，且风险极小。大型颈动脉体瘤常环绕颈内动脉和颈外动脉，广泛出血常使切除术复杂化，增加了颈动脉破裂和主要颅神经损伤的风险。手术技术和选择性栓塞的最新进展降低了手术切除的风险，减少了失血量，并缩短了切除所需时间。比较了有栓塞和无栓塞情况下切除颈动脉肿瘤的经验。提倡在颈内动脉和颈动脉球受累之前尽早切除颈动脉体瘤。
