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我科1988年11月至1997年10月9年间共收治颈动脉体瘤患者26例(27个),其中11例在外院被误诊,入院后26例均行B超检查,其中18例行颈动脉造影检查。26例中行低温(30℃~32℃)麻醉17例,应用Shunt9例(10个);27个肿瘤均一期切除,其中行单纯瘤体剥除8例(9个),瘤体连同颈外动脉一同切除3例;瘤体连同部分颈内动脉、颈外动脉及颈总动脉一并切除后行颈动脉搭桥重建术11例,颈总动脉颈内动脉吻合2例,颈内动脉结扎术2例。结果除1例术后发生偏瘫外,其余效果均良好。笔者认为,仔细的体检,结合超声波和颈动脉造影检查是诊断颈动脉体瘤,防止误诊的重要方法;低温全身麻醉和术中颈总动脉颈内动脉分流是保护脑组织的重要措施
From November 1988 to October 1997, 26 cases (27 cases) of carotid body tumors were treated in our department. Among them, 11 cases were misdiagnosed in the external hospital. After admission, 26 cases underwent B-ultrasound examination, of which 18 cases were performed Artery angiography. In 26 patients, 17 patients underwent low temperature (30°C~32°C) anesthesia, and 9 patients (10 patients) were treated with Shunt; 27 patients underwent uniform tumor resection, among which 8 patients (9 patients) underwent tumor removal alone, and the tumors included external carotid artery. Three patients were removed together; the tumor was removed together with part of the internal carotid artery, external carotid artery, and common carotid artery. 11 patients underwent carotid artery bypass reconstruction, 2 common carotid artery-internal carotid artery anastomosis, and 2 internal carotid artery ligation. example. Results In addition to one case of hemiplegia after operation, the rest were all good. The author believes that a careful physical examination, combined with ultrasound and carotid angiography is an important method for diagnosis of carotid body tumors, to prevent misdiagnosis; low temperature general anesthesia and intraoperative common carotid artery dissection is an important measure to protect the brain tissue