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目的：探讨颈部肿块的血管造影表现及其对颈部肿块的诊断价值。材料与方法：２８例颈部肿块患者，２５例经手术病理证实。血管性肿块１３例，其中假性动脉瘤７例，静脉瘤３例，动脉迂曲３例；非血管性肿块１５例，其中颈部动脉体瘤９例，神经鞘膜瘤４例，海绵状淋巴管瘤２例。分析其血管造影表现，并与临床、手术病理结果对比分析。结果：１３例血管性肿块和９例颈动脉体瘤因有典型的造影表现与病理结果一致，其余６例因缺少肿瘤血管或典型表现而误诊或诊断不明。血管造影诊断准确率为７８．６％，临床诊断准确率为５７．６％。结论：血管造影是颈部肿块影像学检查有效方法之一，对血管性肿块和颈动脉体瘤可以确诊，同时可了解Ｗｉｌｉｓ环功能及肿块周围动脉累及情况，指导外科手术方式。
Objective: To investigate the angiographic manifestations of cervical masses and their diagnostic value on cervical masses. Materials and Methods: Twenty-eight patients with neck mass were confirmed by pathology. 13 cases of vascular tumor, including pseudoaneurysm in 7 cases, 3 cases of venous aneurysm, tortuous artery in 3 cases; non-vascular mass in 15 cases, including 9 cases of cervical artery aneurysm, nerve sheath tumor in 4 cases, cavernous lymph Tumor in 2 cases. Analysis of angiography, and clinical and surgical pathology results were analyzed. Results: Thirteen cases of carotid body tumor and 9 cases of carotid body tumor showed typical pathological findings. The other six cases were misdiagnosed or unknown due to lack of tumor vessels or typical manifestations. The diagnostic accuracy of angiography was 78.6% and the accuracy of clinical diagnosis was 57.6%. Conclusion: Angiography is one of the effective imaging methods for cervical mass. Vascular masses and carotid body tumors can be diagnosed. At the same time, we can understand the function of Wilis ring and the involvement of the surrounding arteries and guide the surgical procedure.