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肿瘤固着于颈动脉在临床实践中并非少见,如能将肿瘤与受累动脉一并切除,仍不无救治机会。通过体外或体内对患侧颈动脉压迫训练,促使大脑侧枝循环的建立,并采用脑血管造影或/和经颅多普勒血流检测仪(TCD)检测证实合格后,可将肿瘤及受累段颈动脉作整块切除。本文报告1987~1995年间,我们按上述方法给7位患者施行本术,取得较好的效果,无手术死亡及脑血管并发症。
The fixation of the tumor in the carotid artery is not uncommon in clinical practice. If the tumor can be removed together with the affected artery, there is still no opportunity for treatment. By training the affected side of the carotid artery in vitro or in vivo to promote the establishment of the collateral circulation of the brain, and after passing the cerebral angiography or/and transcranial Doppler flowmetry (TCD) to confirm the diagnosis, the tumor and the affected segment can be obtained. The carotid artery was removed as a whole. This article reports that from 1987 to 1995, we performed the procedure for 7 patients according to the above method, and achieved good results with no operative death and cerebrovascular complications.