摘要
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 evaluate our experience in the surgical management and the complications of carotid body tumor (CBT). Methods The clinical data of 28 CBT patientsin our department from Jan.2000 to Sep.2012 were analyzed retrospectively. Based on Shamblin classification, there are 14 Shamblin I cases, 7 Shamblin II cases and 7 Shamblin III cases. All cases received surgical treatment, including pure tumor excision (n=17), removing total tumor and a partial external carotid artery (n=5), removing total tumor and a partial internal carotid artery and internal carotid reconstruction (n=5), removing total tumor and common carotid ligation(n=1). Results 28 tumor cases were resected successfully. Transient cerebral ischemia occurred in 4 cases (14.2%). Cranial cerebral nerve palsy occurred in 5 cases(17.8%) and postoperative permanent cranial nerve palsy occurred in 2 cases(7.1%). Conclusion Early operation treatment can reduce operation complication.
出处
《中国血管外科杂志（电子版）》
2013年第2期94-96,共3页
Chinese Journal of Vascular Surgery(Electronic Version)
