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颈部副神经节瘤绝太多数发生于颈动脉体,手术治疗常因病变与颈动脉壁固着而无法解离,为根治肿瘤,被迫将颈动脉分歧部与肿瘤一并切除,切除后应即行血管重建以恢复血运。但是,不少病例的瘤体较大,且上界较高,切除后,颈内动脉断端已残留无几,无法进行血管吻合,遇此情况应如何处理,是头颈肿瘤外科有待解决的实际问题。我院近30年(1956～1985)来,手术治疗颈部副神经节瘤22例,包括颈动脉体瘤21例及迷走神经体瘤1例。其中行颈动脉分歧部切除术9例、除1例合并血管重建外,8
Most of the paraganglioma of the neck occurs in the carotid body. Surgical treatment is often due to the fixation of the lesion and the carotid wall and cannot be dissociated. To cure the tumor, the carotid artery is to be removed together with the tumor. Revascularization is performed to restore blood supply. However, in many cases, the tumor is large and the upper border is relatively high. After resection, the internal carotid artery fractured end has few residues, and the vascular anastomosis cannot be performed. What to do in this case is a practical problem to be solved in head and neck tumor surgery. . In our hospital for the past 30 years (1956-1985), surgical treatment of 22 cases of cervical paraganglioma, including 21 cases of carotid body tumors and 1 case of vagal nerve tumors. Among them, 9 patients underwent resection of carotid artery divisions, except for 1 case with revascularization, 8