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目的:提高颈动脉体瘤的诊断与治疗水平。方法:回顾性分析武汉大学人民医院1990-2010年收治的44例(46侧)颈动脉体瘤患者,其中双侧颈动脉体瘤患者2例。所有患者均行手术切除,其中瘤体剥离39侧,瘤体并颈外动脉切除6侧,瘤体并颈内、外动脉切除1侧。结果:44例手术患者无一例死亡,无一例出现偏瘫,2例出现暂时性的声音嘶哑及呛咳。随访6个月～2年无复发。结论:手术是颈动脉体瘤最有效的治疗方式,术前充分准备,明确瘤体与血管的关系是手术成功的关键,显微镜下双极电凝手术可获得良好的疗效。
Objective: To improve the diagnosis and treatment of carotid body tumor. Methods: Forty-four patients (46 sides) with carotid body tumor from 1990 to 2010 in Wuhan University People’s Hospital were retrospectively analyzed, including 2 cases of bilateral carotid body tumor. All patients underwent surgical resection, in which the tumor stripped 39 sides, the tumor and the external carotid artery ablation 6, the tumor and the internal and external carotid artery resection 1 side. Results: None of the 44 surgical patients died of hemiplegia in one case, and 2 cases had temporary hoarseness and cough. Follow-up 6 months to 2 years without recurrence. Conclusion: Surgery is the most effective treatment for carotid body tumor, which is well prepared before operation. It is clear that the relationship between tumor and blood vessel is the key to successful operation. Bipolar coagulation under microscope can achieve good therapeutic effect.