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目的:探讨颈动脉体瘤(CBT)的诊断方法和手术疗效的评估。方法:回顾性分析11例CBT患者的临床资料,包括CT和DSA检查结果以及手术和疗效。结果:11例CBT均为ShamblinⅠ型和Ⅱ型;颈部CT均提示颈动脉分叉处肿块;DSA能清楚显示一个血管化的实质性肿块及其与周围动脉的关系,术前行超选择性瘤体滋养动脉栓塞可减少术中出血;所有病例均完整切除肿瘤而未结扎颈内、外动脉;经1～5年随访,11例患者均无复发。结论:对颈部包块患者应考虑到CBT的可能;DSA在CBT的诊断和治疗中具有重要意义;早期手术可减少动脉和神经损伤。
Objective: To evaluate the diagnostic methods and surgical outcomes of carotid body tumor (CBT). Methods: The clinical data of 11 patients with CBT were retrospectively analyzed, including the results of CT and DSA as well as the operation and curative effect. Results: All 11 cases of CBT were Shamblin type Ⅰ and Ⅱ. The neck CT showed the carotid bifurcation mass. DSA clearly showed a vascularized mass and its relationship with the surrounding arteries. Preoperative hyper-selective Tumor nourishment artery embolization can reduce intraoperative bleeding; all cases were complete resection of the tumor without ligation of the internal and external carotid artery; after 1 to 5 years follow-up, 11 patients had no recurrence. Conclusion: The possibility of CBT should be considered in patients with cervical mass. DSA is of great importance in the diagnosis and treatment of CBT. Early surgery can reduce the damage of arteries and nerves.