CAJ | 학술논문

目的探讨颈动脉体瘤的临床诊断及术前检查经验.方法回顾性分析2003-2013年24例颈动脉体瘤患者的病历资料,分析其临床特点、影像学检查、治疗及预后情况.24例颈动脉体瘤患者,男5例,女19例,其中良性23例,恶性1例;单侧17例,双侧7例.结果 24例颈动脉体瘤患者中19例行数字减影血管造影检查,同时接受暂时性球囊阻断试验,阳性者1例.23例良性者行手术治疗,1例恶性者仅行探查活检术,3侧行颈内动脉及颈外动脉在内的瘤体切除术,未行颈动脉重建,术后患者无死亡,没有出现中枢神经系统损伤.23例良性者随访6 ～ 122个月,中位随访时间75个月;恶性患者术后6个月死亡.结论数字减影血管造影与暂时性球囊阻断试验可靠实用,可以作为颈动脉体瘤常规术前检查方法来判断颈动脉结扎的可靠性.
목적 탐토경동맥체류적림상진단급술전검사경험.방법 회고성분석2003-2013년24례경동맥체류환자적병력자료,분석기림상특점、영상학검사、치료급예후정황.24례경동맥체류환자,남5례,녀19례,기중량성23례,악성1례;단측17례,쌍측7례.결과 24례경동맥체류환자중19례행수자감영혈관조영검사,동시접수잠시성구낭조단시험,양성자1례.23례량성자행수술치료,1례악성자부행탐사활검술,3측행경내동맥급경외동맥재내적류체절제술,미행경동맥중건,술후환자무사망,몰유출현중추신경계통손상.23례량성자수방6 ～ 122개월,중위수방시간75개월;악성환자술후6개월사망.결론 수자감영혈관조영여잠시성구낭조단시험가고실용,가이작위경동맥체류상규술전검사방법래판단경동맥결찰적가고성.
Objective To study the clinical diagnosis and preoperative management of carotid body tumor.Methods A total of 24 cases with carotid body tumors underwent surgery from 2003 to 2013 were reviewed.The clinical and imaging features,treatment and prognosis were retrospectively evaluated.Five of the 24 patients were males and 19 were females.Twenty-three cases were benign and one case was malignant.Seven of the 24 patients had bilateral tumors.Results Nineteen of twenty-four patients underwent digital subtraction angiography (DSA) and temporary balloon occlusion (TBO) test,and one case of them was positive in the test.Twenty-three benign case were treated with operation.The malignant one treat with biopsy.Three cases underwent resection of tumors with both the internal and external carotid arteries without carotid reconstruction,and none of the three patients died or presented with hemiplegia after operation.Twenty-three benign cases were followed up for 6-122 months,the median was 75 months.The malignant patient died 6 months after operation.Conclusion TBO and DSA are reliable and practical methods to determine the safety of carotid ligation and can be used as routine preoperative examinations.