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对12例累及颈动脉的颈部良性及低恶度肿瘤的外科治疗进行探讨。认为:应依据累及颈动脉的不同情况对颈动脉采用不同的手术方法。对无法进行血管重建的颈动脉切除的患者,采取分期手术,预先一期手术结扎或部分结扎患侧颈总动脉,形成长期的持续性颈动脉阻断锻炼,可缩短二期颈动脉切除手术的术前锻炼时间和提高手术安全性。术前在压迫患侧颈总动脉的同时分别做椎动脉造影及对侧颈动脉造影,可直观显示脑底动脉侧支循环情况,作为术前评价脑侧支循环水平的依据之一。
Surgical treatment of benign and low-grade tumors in 12 necks involving the carotid artery was discussed. It is believed that different methods of surgery for the carotid artery should be based on the different conditions involving the carotid artery. For patients undergoing revascularization with carotid resection, staged surgery and ligation of the common carotid artery of the affected side in one operation to form a long-term continuous carotid artery blockade can shorten the period of secondary carotid resection. Preoperative exercise time and improve surgical safety. The vertebral artery angiography and contralateral carotid artery angiography were performed before the compression of the ipsilateral common carotid artery. This can be used to visualize the collateral circulation of the cerebral artery, which is one of the criteria for assessing the level of cerebral collateral circulation before surgery.