[精品][经典]颈动脉体瘤诊断和治疗的临床分析

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1、［经典］颈动脉体瘤诊断和治疗的临床分析颈动脉体瘤诊断和治疗的临床分析［摘要］目的:总结颈动脉体瘤(CBT)的诊治经验，以提高CBT的诊治水平，降低手术风险，减少手术并发症的发生。方法：回顾分析26例CBT患者的临床资料。10例患者行彩色多普勒超声检查疑为CBT,后经64排螺旋CT(64-MSCTA)检查证实，4例行磁共振血管造影(MRA)检查、12例行数字减影血管造影(DSA)检查(其屮8例同时行瘤体主要营养血管的栓塞)均明确诊断。患者全部行手术治疗。结果:所有患者无手术死亡，无肿瘤复发，1例发生术后脑栓塞、偏瘫，8例发生术后神经并发症。结论：对CBT,彩色多普勒超声、CT和MRA检

2、查均可提供一定的诊断依据，64排螺旋CT与DSA检查是诊断的最佳手段。手术切除是治疗CBT的首选治疗措施。术前应常规行Matas训练，术中精细地解剖町明显减少术后神经并发症的发生和其他组织的损伤。［关键词］颈动脉体瘤；诊断；并发症；手术治疗［中图分类号］R732.21［文献标识码］A［文章编号］1671-7562(2011)01-0038-04doi:10.3969/j.issn.1671-7562.2011.01.省略ClinicalanalysisofdiagnosisandtherapyoncarotidbodytumorsZHULi-ying^l,GUOF

3、eng^l,DENGYong-jun^l,YUGuang-jiu²,CHANGJiang^l,JIANGHong-bo^l,ZHENGZhou-hong¹,CHENWei~gang^l,WANGBin^l,ZHULi-fang³(1.DepartmentofOtorhinolaryngology,theFirstHospitalofQiqiharCity,Qiqihar161005,China；2.D

4、epartmentofNeurosurgery,theFirstHospitalofQiqiharCity,Qiqihar161005,China；3.DepartmentofCT,ChineseMedicalHospitalofWafangdian,Dalian116300,China)[Abstract]Objective:Tosummarizetheexperieneeindiagnosisandtherapyofcarotidbodytumors(CBT),promotetherateofdiagnosisandsuccessfulrateofoperationandmini

5、mizeintraandpostoperativecomplications・Methods：Aretrospectivestudywasbasedon26patientswithcarotidbodytumorsdiagnosedandtreatedfrom2001to2010.10caseswereoperatedafterprovenbynoninvasiveexaminationincludingcolorDopplerscan,4casesbycomputertomographyangiography,12casesbyDSAexamination.Results:Nopa

6、tientsdied,nocerebralinfarctionsandrecurrencewerefoundaftertheoperation.Operativenervouscomplicationsoccurredin8cases・Conclusion:DSAexaminationisthetraditionalmethodtodiagnosecarotidbodytumors・64sliceCTangiography(64-MSCTA)examinationisvaluabletodiagnosecarotidbodytumors.Surgeryisthefirstchoice

7、tocurecarotidbodytumors・Enoughpreoperativepreparationisnecessary.PreoperativeMatastrainingandmeticulousdissectionduringtheoperationmayreducetheincidenceofpostoperativecomplications・[Keywords]carotidbodytumors；diagnosis；complicatio