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目的:探讨巨大颈动脉体瘤的术前诊断和手术治疗。方法:手术切除3例巨大颈动脉体瘤,其上限均达至颅底。术前分别行CT扫描、B超、数字减影血管造影(DSA)等检查。结果:仅有1例术前确诊,术后2例出现舌下及迷走神经损伤,但无全身并发症出现。结论:颈动脉体瘤广泛侵及咽旁隙时,诊断和治疗均较困难。术前确定诊断、充分准备是彻底切除肿瘤及防止并发症发生的关键所在。
Objective: To investigate the preoperative diagnosis and surgical treatment of huge carotid body tumors. Methods: Three giant carotid body tumors were surgically resected. The upper limit reached the skull base. Preoperative CT scanning, B ultrasound, digital subtraction angiography (DSA) and other tests. Results: Only one case was diagnosed preoperatively. Sublingual and vagal nerve injury occurred in 2 cases, but no systemic complications occurred. Conclusion: Diagnosis and treatment of carotid body tumors are more difficult when they are extensively invading the parapharyngeal space. Preoperative diagnosis and adequate preparation are the key to thorough removal of the tumor and prevention of complications.