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目的探讨外膜下剥离切除颈动脉体瘤的疗效。方法对１９８９～１９９７年收治的１３例颈动脉体瘤的诊治资料进行回顾性总结。结果本组１３例颈动脉体瘤包括单侧发病１２例，双侧发病１例，术前Ｂ型超声证实５例，ＣＴ确诊７例；１３例均经手术治疗，其中１１例行外膜下剥离切除术，无手术死亡和术后并发症。术后随访１０例，随访率为７７％，随访时间１～５年，平均２年３个月，无肿瘤复发。结论颈部Ｂ型超声、ＣＴ扫描和颈动脉造影对本病有重要诊断价值，外膜下剥离切除颈动脉体瘤的方法较为安全和有效。
Objective To investigate the effect of subepithelial dissection on carotid body tumors. Methods The data of diagnosis and treatment of 13 cases of carotid body tumor treated from 1989 to 1997 were retrospectively summarized. Results Thirteen cases of carotid body tumors in this group included 12 cases of unilateral onset, 1 case of bilateral onset, 5 cases confirmed by preoperative B-mode ultrasound, and 7 cases confirmed by CT; 13 cases were treated by surgery, and 11 cases underwent submucosal surgery. Dissection resection, no operative mortality and postoperative complications. Follow-up was performed in 10 cases. The follow-up rate was 77%. The follow-up period was 1 to 5 years, with an average of 2 years and 3 months. No tumor recurrence occurred. Conclusion Cervical B-mode ultrasound, CT scan and carotid angiography have important diagnostic value for the disease. The method of subepithelial dissection for resection of carotid body tumor is safe and effective.