显微镜下去血管化技术切除颈动脉体瘤20例临床分析
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西京医院

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Clinical Analysis of 20 Cases of Carotid Body Tumor Resected by Microscopic Devascularization
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西京医院

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    摘要:

    目的:探讨颈动脉体瘤的特点、诊断、治疗方法及术后并发症。方法:对2016年8月至2022年5月收治的颈动脉体瘤患者的临床资料进行分析总结及随访。结果:B型超声、颈部CT、MRI,DSA检查的诊断率分别为74%、95%、90%和100%。其中,DSA的诊断符合率为100%,是最有效的检查手段,19例患者手术完整切除肿瘤,1例患者未完整切除肿瘤。结论:B型超声检查可作为颈动脉体瘤的初步筛查方法。DSA、CTA 和 MRI 都是颈动脉体瘤的有效检查方法,显微镜下去血管化技术是手术切除颈动脉体瘤的有效切除方法。

    Abstract:

    Objective: To investigate the characteristics, diagnosis, treatment and postoperative complications of carotid body tumor. Methods: The clinical data of patients with carotid body tumor admitted from August 2016 to May 2022 were analyzed, summarized and followed up. Results: The diagnostic rates of B-mode ultrasound, neck CT, MRI and DSA were 74%, 95%, 90% and 100% respectively. Among them, the diagnostic accuracy of DSA is 100%, which is the most effective examination method. 19 patients underwent complete resection of tumor, and 1 patient did not complete resection of tumor. Conclusion: B-mode ultrasound can be used as a preliminary screening method for carotid body tumors. DSA, CTA and MRI are all effective methods for the examination of carotid body tumors, and microscopic devascularization technology is an effective method for the surgical removal of carotid body tumors..

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  • 收稿日期:2023-02-10
  • 最后修改日期:2023-04-02
  • 录用日期:2023-04-06
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