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目的 :探讨进一步提高颈动脉体瘤诊断符合率和手术成功率的手段。方法 :采用血管造影术 (或数字减影血管造影术 ,即 DSA)明确术前诊断。 3 0例颈动脉体瘤中 ,行血管外膜下剥离 12例 ,外膜下剥离并颈外动脉切除 8例 ,肿瘤并颈内、外动脉切除 10例。结果 :4例失访 ,1例术后 2年死于交通意外 ,2 5例随诊 5个月～ 10年未见肿瘤复发 ,无一例手术死亡或脑血管并发症。结论 :DSA是颈动脉体瘤最具权威性的诊断方法 ,DSA或 (和 )经颅多普勒在颈动脉切除术中起决定性作用 ,准确的术前评估、正确地选择术式和操作步骤是手术成功的关键。
Objective: To explore the means to further improve the diagnostic accuracy and success rate of carotid body tumors. Methods : Preoperative diagnosis using angiography (or digital subtraction angiography or DSA). In 30 cases of carotid body tumors, 12 cases underwent subepicardial decrepitation, 8 cases underwent subepicardial detachment and external carotid artery resection, and 10 cases underwent internal and external carotid artery resection. Results: 4 cases were lost to follow-up, 1 case died of traffic accident 2 years after operation, 25 cases had no tumor recurrence within 5 months to 10 years after follow-up, and there was no case of operative death or cerebrovascular complications. Conclusion: DSA is the most authoritative diagnostic method for carotid body tumors, DSA or (and) transcranial Doppler play a decisive role in carotid resection, accurate preoperative assessment, correct choice of procedures and procedures It is the key to successful operation.