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目的:分析23例(25个)颈动脉体瘤患者的临床资料,总结其诊断方法和手术治疗方案,并减少术后并发症。方法:2003~2008年,我科收治23例颈动脉体瘤患者,作彩超CTA以及MRA等无创检查,明确诊断后,全部行手术治疗。结果:无手术死亡;无脑栓塞发生;无肿瘤复发;5例发生术后神经并发症。结论:通过多普勒超声、CTA或MRA检查,在术前明确颈动脉体瘤的血供来源和脑部Willis环的结构是否完整,便于判断术中是否能临时阻断颈动脉,减少创面出血,从而减少术后神经并发症的发生和其他组织的损伤。
Objective: To analyze the clinical data of 23 patients (25 patients) with carotid body tumor, summarize their diagnostic methods and surgical treatment plans, and reduce postoperative complications. Methods: From 2003 to 2008, 23 patients with carotid body tumor were treated in our department for non-invasive examination such as color Doppler ultrasonography (CTA) and MRA. After definite diagnosis, all patients underwent surgical treatment. Results: No operative death, no cerebral embolism, no tumor recurrence and postoperative neurological complications occurred in 5 cases. CONCLUSIONS: Whether the blood supply of carotid body tumor and the structure of Willis ring in the brain is intact before operation is determined by Doppler ultrasound, CTA or MRA, and it is easy to judge whether intraoperative occlusion of carotid artery can be stopped temporarily and the wound bleeding can be reduced , Thereby reducing the incidence of postoperative neurological complications and other tissue damage.