Wang Hui, Li Zilun, Yao Chen, Wang Mian, Hu Zuojun, Wu Ridong, Chang Guangqi
Department of Vascular Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Department of Vascular Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Ann Vasc Surg. 2025 Jan;110(Pt B):126-132. doi: 10.1016/j.avsg.2024.05.015. Epub 2024 Jul 14.
The value of color doppler ultrasound (CDU) for perioperative evaluation and follow-up outcomes of carotid body tumor (CBT) remains elusive. This study aimed to investigate the role of CDU in CBT in our center.
From January 2015 to December 2020, 75, patients with CBT were included in the study. Computed tomography angiography (CTA) and CDU data of patients were collected and analyzed. The postoperative recovery and follow-up outcomes were summarized.
A total of 91 CBTs in 75 patients were included in the study. 73.3% of the patients had unilateral lesions, while 26.7% had bilateral lesions. Lesions were categorized as Shamblin I (4.4%), Shamblin II (52.7%), and Shamblin III (42.9%). 79.5% lesions were treated by surgical resection, 12.3% were treated by surgical resection with internal carotid artery reconstructed by artificial vessel, while 8.2% were treated by surgical resection with internal carotid artery reconstructed by autogenous great saphenous vein. Compared with CTA, the sensitivity of CDU for the detection of CBT was 96.7%, the sensitivity and specificity of CDU for the detection of Shamblin I lesions were both 100%, the sensitivity and specificity for Shamblin II were 100% and 72.1%, respectively, while the sensitivity and specificity for Shamblin III were 69.2% and 100%, respectively. There were no statistically significant differences between CTA and CDU for the detection of the maximal diameter, volume of CBT, distance between the end of the tumor, and the mastoid process. 79.7% of the patients were followed up with CDU. The eecurrence of CBT occurred in 1 patient. CDU showed that stenosis and occlusion of artificial vessel occurred in 1 and 6 patients, respectively. The occlusion of autogenous great saphenous vein was found in 2 cases.
CDU can accurately diagnose Shamblin I CBT, have high sensitivity for Shamblin II, and high specificity for Shamblin III CBT. It plays an important role in diagnosis, perioperative evaluation, and follow-up analysis of CBT.
彩色多普勒超声（CDU）在颈动脉体瘤（CBT）围手术期评估及随访结果中的价值尚不明确。本研究旨在探讨CDU在本中心CBT中的作用。
2015年1月至2020年12月，75例CBT患者纳入研究。收集并分析患者的计算机断层血管造影（CTA）和CDU数据。总结术后恢复情况及随访结果。
本研究共纳入75例患者的91个CBT。73.3%的患者为单侧病变，26.7%为双侧病变。病变分为Shamblin I型（4.4%）、Shamblin II型（52.7%）和Shamblin III型（42.9%）。79.5%的病变采用手术切除治疗，12.3%采用人工血管重建颈内动脉的手术切除治疗，8.2%采用自体大隐静脉重建颈内动脉的手术切除治疗。与CTA相比，CDU检测CBT的敏感性为96.7%，检测Shamblin I型病变的敏感性和特异性均为100%，检测Shamblin II型病变的敏感性和特异性分别为100%和72.1%，检测Shamblin III型病变的敏感性和特异性分别为69.2%和100%。CTA和CDU在检测CBT的最大直径、体积、肿瘤末端与乳突之间的距离方面无统计学显著差异。79.7%的患者接受了CDU随访。1例患者出现CBT复发。CDU显示人工血管狭窄和闭塞分别发生在1例和6例患者中。发现2例自体大隐静脉闭塞。
CDU能准确诊断Shamblin I型CBT，对Shamblin II型具有高敏感性，对Shamblin III型CBT具有高特异性。它在CBT的诊断、围手术期评估及随访分析中发挥着重要作用。
