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目的 进一步探讨颈静脉体瘤的诊治。方法 回顾1991年至2000年10年间我院收治的5例颈静脉体瘤,将临床表现归结起来分为3部分:耳部症状、神经学症状及神经内分泌症状。分别采用4种手术入路切除肿瘤。结果 肿瘤全切除3例,次全切除1例,大部分切除1例;3例术后原有症状有不同程度好转,1例原有症状完全消失;随访1～7年,3例已恢复工作,1例生活自理,1例肿瘤复发。结论 充分的术前准备及良好的显露是手术成功的关键。
Objective To further explore the diagnosis and treatment of jugular vein tumor. Methods A retrospective study of 5 cases of jugular vein tumor treated in our hospital from 1991 to 2000 was conducted. The clinical manifestations were divided into three parts: ear symptoms, neurological symptoms and neuroendocrine symptoms. Four surgical approaches were used to remove the tumor. Results The total tumor resection in 3 cases, subtotal resection in 1 case, the majority of resection in 1 case; 3 cases after the original symptoms have improved to varying degrees, 1 case of the original symptoms disappeared; 1 to 7 years follow-up, 3 cases have been restored , 1 case of self-care, 1 case of tumor recurrence. Conclusion The adequate preoperative preparation and good presentation are the keys to successful operation.