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目的 :探讨颈静脉球体瘤和颈动脉体瘤的临床特性 ,手术要点。方法 :单纯颈动脉体瘤者采用胸锁乳突肌前缘切口。颈静脉球体瘤及同侧同时患有颈动脉体瘤者 ,一律采用大“S”形切口 ,显露颈静脉孔和岩尖的颞下进路。结果 :5例颈动脉体瘤患者 ,瘤体均彻底切除且完好保留了颈内动脉。 5例颈静脉球体瘤患者 3例肿瘤切除彻底 ,2例有意姑息切除瘤体 ,经 1～ 3年随访 ,未见残余肿瘤增大。结论 :化学感受器瘤具有一定的家族性。手术切除肿瘤是最主要的治疗方法
Objective: To investigate the clinical characteristics of jugular bulb tumor and carotid body tumor and the main points of surgery. Methods: Simple carotid body tumor using sternocleidomastoid anterior margin incision. Jugular spheroid tumors and ipsilateral patients with carotid body tumor at the same time, all with large “S” shaped incision, jugular vein revealed petrous apex and infratemporal approach. Results: In 5 patients with carotid body tumor, the tumor was completely resected and the internal carotid artery was preserved intact. Three patients with jugular bulb tumor were resected completely in 3 cases and two cases were intentionally treated with palliative resection of the tumor. After 1 to 3 years of follow-up, no residual tumor was found. Conclusion: Chemoreceptor tumors have a certain familial status. Surgical removal of the tumor is the most important treatment