Lu S, Li W, Liu D
PLA General Hospital, Beijing.
Zhonghua Er Bi Yan Hou Ke Za Zhi. 1994;29(4):240-2.
Carotid body tumors are rarely encountered and can present a difficult surgical problem. During the period of June 1988 to November 1992, 8 patients were operated on for carotid body tumors at PLA General Hospital. Details of the surgery, morbidity and outcome of these patients are presented. Our experience suggests that: 1) The presence of a pulsatile neck mass located in the region of carotid triangle, vertically fixed and laterally mobile, should raise the suspicion of a carotid body tumor; 2) Color Doppler flow imaging has a role to play in the diagnosis of carotid body tumor; 3) DSA is very important for a number of reasons, especially for the use of concomitant embolization; 4) Management of these tumours is primarily surgical; 5) The decision whether to resect the carotid artery or not can only be made intra-operatively based on status of the patient and tumor, there might be 4 surgical options open to the operators.
颈动脉体瘤很少见，可能会带来棘手的手术难题。1988年6月至1992年11月期间，8例患者在中国人民解放军总医院接受了颈动脉体瘤手术。现介绍这些患者的手术细节、发病率及预后情况。我们的经验表明：1）位于颈动脉三角区、垂直固定且侧向可移动的搏动性颈部肿块，应怀疑为颈动脉体瘤；2）彩色多普勒血流成像在颈动脉体瘤的诊断中发挥作用；3）数字减影血管造影（DSA）因多种原因非常重要，尤其是用于同期栓塞；4）这些肿瘤的治疗主要是手术；5）是否切除颈动脉只能在术中根据患者和肿瘤情况决定，术者可能有4种手术选择。
