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目的 总结 2 5例颈动脉体瘤临床资料 ,探讨并评估提高手术成功率和减少严重并发症的方法。方法 研究 1983 .1.～ 2 0 0 3 .1.收治的 2 5例颈动脉体瘤的的诊断方法、治疗措施和预后效果。结果 2 5例中 2 6次手术治疗 ,3例行肿瘤摘除术 ,9例将肿瘤从颈动脉窦区完整剥离 ;7例连同颈外动脉切除 ,对颈动脉分叉或颈内动脉起始部的破口施行修补 ;7例术中同肿瘤一起切除颈总动脉、颈内动脉 ,其中 1例进行颈内外动脉吻合。 1例术前施行了颈内动脉和颈总动脉球囊栓塞 ,除 1例术后死亡外均未发生严重颅脑并发症。结论 综合性检测有利于术前的确诊 ,选择性颈动脉造影对术前确诊意义重大 ;颈内动脉、颈总动脉的正确处理是减少手术并发症的关键 ,应尽力争取保留颈内动脉 ;颈动脉压迫训练效果是肯定的和有效的 ,颈动脉造影对大脑侧枝循环建立的检查是客观的
Objective To summarize the clinical data of 25 cases of carotid body tumor and to explore and evaluate the methods to improve the success rate and reduce serious complications. Methods Twenty-five cases of carotid body tumor from 1983 to 2001 were diagnosed, treated and prognosticated. Results Twenty-five of 25 cases were treated by surgery, 3 cases were performed tumor resection, 9 cases were completely stripped of the tumor from the carotid sinus, 7 cases were resected with external carotid artery, and the carotid bifurcation or internal carotid artery Of the break implementation of repair; 7 cases of surgery with the tumor resection of the common carotid artery, internal carotid artery, including 1 case of internal and external arterial anastomosis. One patient underwent carotid embolization of the internal carotid artery and common carotid artery before operation, and no severe craniocerebral complications occurred except one patient died after operation. Conclusion The comprehensive test is helpful for preoperative diagnosis. Selective carotid artery angiography is of great significance to the preoperative diagnosis. The proper treatment of the internal carotid artery and common carotid artery is the key to reduce the surgical complications. The neck Artery compression training effect is positive and effective, carotid angiography on the establishment of collateral circulation in the brain is objective