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颈动脉体瘤属于比较少见的化学感受体肿瘤,部位特殊,诊断治疗困难,临床医生一般均感经验不足。本文介绍我院1977~1986年5例诊治体会,以资交流。临床资料 1、病例:男4例,女1例。年龄38~53岁。右侧1例,左侧4例。肿瘤最小4×3×2.5厘米,最大7×6×4.5厘米,均为良性。病期最短3年,最长12年。 2、诊断依据:术前5例颈动脉造影显示典型的颈动脉分叉占位性改变。术后病理检查均证实为颈动脉体瘤(图1)。 3、手术方式:(1)保留颈总、颈内动脉,颈动脉体瘤完整剥离术3例。(2)颈动
Carotid body tumors are relatively rare chemosensory tumors, which have a special location and are difficult to diagnose and treat. Clinicians generally have insufficient experience. This article describes five cases of diagnosis and treatment in our hospital from 1977 to 1986, in exchange for funding. Clinical data 1. Cases: 4 males and 1 female. Age 38 to 53 years old. One case on the right and four cases on the left. The tumor was a minimum of 4 x 3 x 2.5 cm and a maximum of 7 x 6 x 4.5 cm, both of which were benign. The shortest period is 3 years and the longest is 12 years. 2. Diagnosis basis: preoperative 5 cases of carotid angiography showed typical carotid bifurcation occupying changes. Postoperative pathological examination confirmed carotid body tumors (Figure 1). 3. Surgical methods: (1) The total neck and internal carotid artery were preserved, and 3 cases of complete carotid body tumor dissection were performed. (2) neck movement