CAJ | 학술논문

目的探讨颈动脉体瘤分型、诊断和手术方法.方法 1996年11月～2006年2月收治的颈动脉体瘤9例,其中ShamblinⅠ型4例,Ⅱ型1例,Ⅲ型4例,术前均行DSA.单纯瘤体切除4例,瘤体切除并颈外动脉结扎1例,瘤体切除并颈内静脉、颈内动脉、颈外动脉、迷走神经切除1例,瘤体、颈外动脉切除并颈内、颈总动脉端端吻合2例,瘤体、颈外动脉切除并颈总-颈内动脉自体静脉移植术1例.结果 1例手术后1年复发,再次手术后3 d死亡;2例舌下神经损伤,其中暂时性舌瘫1例,永久性舌瘫1例.结论 DSA在颈动脉体瘤诊断和指导治疗中起重要作用,根据分型选择合理的手术方法,疗效佳且并发症少.
목적 탐토경동맥체류분형、진단화수술방법.방법 1996년11월～2006년2월수치적경동맥체류9례,기중ShamblinⅠ형4례,Ⅱ형1례,Ⅲ형4례,술전균행DSA.단순류체절제4례,류체절제병경외동맥결찰1례,류체절제병경내정맥、경내동맥、경외동맥、미주신경절제1례,류체、경외동맥절제병경내、경총동맥단단문합2례,류체、경외동맥절제병경총-경내동맥자체정맥이식술1례.결과 1례수술후1년복발,재차수술후3 d사망;2례설하신경손상,기중잠시성설탄1례,영구성설탄1례.결론 DSA재경동맥체류진단화지도치료중기중요작용,근거분형선택합리적수술방법,료효가차병발증소.
Objective To study the classification, diagnosis and surgical treatment of carotid body tumor.Methods Nine patients from November 1996 to February 2006,including Shamblin typeⅠ(n=4),Ⅱ(n=1)and Ⅲ(n=4).All cases were diagnosed by DSA and underwent tumor resection,4 cases with simple excision,1 case with tumor resection and external carotid ligation,1 case with resection of tumor, jugular vein,internal, external carotid and vagus,2 cases with resection of tumor, external carotid and anastomosis of common and internal carotid, 1 case with resection of tumor, external and common and internal carotid reconstruction with autogenous vein.Results One case was recurred and died 3 days later after second operation.Two cases had hypoglossal nerve injury, 1 temporary lingual paralysis, the other permanent lingual paralysis.Conclusions DSA plays an important role in the diagnosis and treatment of carotid body tumor.According to Shamblin type, reasonable surgical treatment shows good results with few complications.