论文部分内容阅读
目的:探讨颈动脉体瘤的手术方法及并发症的防治策略。方法:对2007-01-2015-04手术治疗的29例颈动脉体瘤患者的临床资料进行回顾性分析。结果:29例中5例为双侧颈动脉体瘤,共行34例次颈动脉体瘤切除术。瘤体完整剥除未行颈动脉阻断及重建者18例次,瘤体合并颈外动脉切除者16例次,其中9例次联合颈内动脉切除,以自体大隐静脉重建颈内动脉4例次,以人工血管重建颈内动脉3例次,颈内动脉结扎未重建2例次。无围手术期死亡。手术并发脑梗死1例,并发后组脑神经损伤12例次。结论:颈动脉体瘤常需联合血管切除,术者必须熟悉各种颈动脉重建方法,后组脑神经损伤是颈动脉体瘤切除术中最常见的并发症。
Objective: To explore the surgical methods of carotid body tumor and the prevention and treatment strategies of complications. Methods: The clinical data of 29 patients with carotid body tumor from January 2007 to December 2015 were retrospectively analyzed. Results: Among the 29 cases, 5 cases were bilateral carotid body tumor and 34 cases underwent carotid body tumor resection. Complete removal of the tumor without carotid artery occlusion and reconstruction in 18 cases, tumor combined with external carotid artery ablation in 16 cases, of which 9 cases combined with internal carotid artery resection to the great saphenous vein to reconstruct the internal carotid artery 4 Cases, with artificial blood vessels to reconstruct the internal carotid artery in 3 cases, internal carotid artery ligation did not reconstruct in 2 cases. No perioperative deaths. One patient had cerebral infarction complicated by surgery and 12 patients suffered cerebral nerve injury after concurrent operation. CONCLUSION: Carotid body tumors often require combined vascular resection. The surgeon must be familiar with various methods of carotid artery reconstruction. The posterior group of cranial nerve injury is the most common complication of carotid body tumor excision.