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颈动脉体瘤(Carotid body tumor,CBT)是一种发生于颈总动脉分叉处的化学感受器肿瘤,又称副神经节瘤。以颈部肿块为主要临床表现。该瘤在鉴别诊断上易与神经鞘瘤、神经纤维瘤及海绵状血管瘤等相混淆,需要从影像学的角度把握其特点,从而提高正确诊断率。颈动脉体瘤一旦确诊,应在充分的术前准备条件下,及时手术切除,诊断和处理不当均会导致严重后果。本文报道1例巨大颈动脉体瘤的诊疗体会,术中对于破裂的颈内动脉的处理与常规血管外科不同,可能对后来的颈内动脉手术有一定的借鉴意义。
Carotid body tumor (CBT) is a chemosensory tumor that occurs at the bifurcation of the common carotid artery, also known as paraganglioma. Neck mass as the main clinical manifestations. The tumor is easily confused with schwannoma, neurofibromatosis and cavernous hemangioma in the differential diagnosis, it needs to grasp its characteristics from the imaging point of view, so as to improve the correct diagnosis rate. Once the diagnosis of carotid body tumor, should be fully preoperative preparation conditions, timely surgical removal, diagnosis and treatment can lead to serious consequences. This article reports a case of huge carotid body tumor diagnosis and treatment experience, intraoperative management of ruptured internal carotid artery and routine vascular surgery is different may have some reference for the subsequent carotid artery surgery.