论文部分内容阅读
目的总结颈动脉体瘤(CBT)的外科诊治经验及其并发症发生情况。方法回顾性分析2000年1月～2012年9月收治的28例CBT患者的临床资料。根据Shamblin分型:ShamblinⅠ型14例、Ⅱ型7例、Ⅲ型7例。手术切除28例肿瘤,其中17例行单纯瘤体剥除;5例行瘤体剥除及颈外动脉切除;5例行瘤体剥离、颈内动脉部分切除伴颈内动脉重建术;1例行瘤体剥除与颈总动脉结扎术。结果无手术死亡和偏瘫。术后出现短暂性脑缺血4例(14.2%),短暂性脑神经损伤5例(17.8%),永久性脑神经损伤2例(7.1%)。结论早期手术治疗能够减少手术并发症。
Objective To summarize the experience of surgical diagnosis and treatment of carotid body tumor (CBT) and its complications. Methods The clinical data of 28 patients with CBT admitted from January 2000 to September 2012 were retrospectively analyzed. According to Shamblin classification: Shamblin Ⅰ type 14 cases, Ⅱ type 7 cases, Ⅲ type 7 cases. Surgical removal of 28 cases of tumors, of which 17 cases of simple tumor removal; 5 cases of tumor removal and external carotid artery ablation; 5 cases of tumor dissection, internal carotid artery partial resection with internal carotid artery reconstruction; 1 case Tumor removal and carotid artery ligation. No surgical death and hemiplegia. There were 4 cases (14.2%) of transient ischemic attacks, 5 cases (17.8%) of transient cranial nerve injury and 2 cases (7.1%) of permanent cranial nerve injury after operation. Conclusion Early surgical treatment can reduce surgical complications.