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目的探讨颈动脉体瘤手术及围手术期处理方法。方法 15例颈动脉体瘤患者均给予充分的围手术期处理后行手术治疗。结果 15例中6例行单纯肿瘤剥离切除,7列行肿瘤及颈外动脉切除,2例行肿瘤及颈总动脉交叉处切除,颈总与颈内动脉重建。手术顺利,无手术死亡者。术后随访1～3年,平均15.3个月,所有患者手术切口一期愈合,肿瘤压迫症状消失,其中2例术后头痛3个月,经对症处理后头痛好转,1例术后2d天出现脑梗死,1例出现舌下神经损伤,经治疗后症状缓解。术后肿瘤无复发。结论完善的围手术期处理可提高颈动脉体瘤切除手术的疗效、增加手术的安全性、降低手术的并发症。
Objective To investigate the carotid body tumor surgery and perioperative management. Methods 15 cases of carotid body tumor patients were given adequate perioperative management after surgical treatment. Results Of 15 cases, 6 cases were removed by simple tumor dissection, 7 cases were resected by tumor and external carotid artery, 2 cases were resected by tumor and common carotid artery, and the total neck and internal carotid artery were reconstructed. Successful operation, no operative death. The patients were followed up for 1 to 3 years with an average of 15.3 months. All patients underwent primary incision healing and tumor compression symptoms disappeared. Among them, 2 patients had postoperative headache for 3 months, and their headache improved after symptomatic treatment and 1 patient showed symptoms on the 2nd day after operation Cerebral infarction, 1 case of hypoglossal nerve injury, after treatment, symptoms were relieved. No recurrence of tumor after surgery. Conclusion Perfecting perioperative management can improve the curative effect of carotid body tumor resection, increase the safety of operation and reduce the complications of surgery.