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目的总结颈动脉体瘤的治疗经验,探讨手术的安全性和围手术期处理的科学性。方法回顾分析1998年2月至2006年6月昆明医学院第一附属医院收治10例颈动脉体瘤的临床资料,经组织学证实血管型为6例、实质型2例、混合型2例。10例病人均行瘤体剥离和(或)瘤体切除及血管重建。结果术后无一例发生脑动脉血栓形成、栓塞及舌咽、迷走神经等损伤的严重并发症。术后1周均顺利出院。结论由于颈动脉体瘤所处解剖位置特殊,与颈动脉粘连紧密甚至产生包绕和侵蚀血管现象,术中术后极易造成神经、血管损伤和脑供血不足;加之其本身属化学感受器肿瘤,尚有7%~10%为恶性,手术和围手术期处理难度大。因而在手术治疗以及整个围手术期处理中都应高度警惕,避免术后并发症的发生。
Objective To summarize the experience of treatment of carotid body tumor and to explore the safety of surgery and the scientific treatment of perioperative period. Methods The clinical data of 10 cases of carotid body tumor from the First Affiliated Hospital of Kunming Medical College from February 1998 to June 2006 were retrospectively analyzed. The histological examination confirmed that there were 6 cases of vascular type, 2 cases of essential type and 2 cases of mixed type. Ten patients underwent tumor dissection and / or tumor resection and revascularization. Results None of the patients developed serious complications of cerebral arterial thrombosis, embolism, glossopharyngeal and vagus nerve injury. 1 week after surgery were successfully discharged. Conclusion Due to the special anatomical location of carotid body tumor, adhesion with the carotid artery is even close and even surrounds and erodes the blood vessel. It is easy to cause nerve, blood vessel injury and insufficient blood supply to the brain after surgery. In addition, it belongs to chemosensory tumor, There are still 7% to 10% of malignant, surgical and perioperative treatment difficult. Therefore, in the surgical treatment and the perioperative management should be highly vigilant to avoid postoperative complications.