【摘要】 目的：探讨巨大颈静脉球体瘤手术进路及治疗经验。方法：６ 例巨大颈静脉球体瘤，４ 例经三种不同联合进路手术治疗，其中３ 例术前行ＤＳＡ检查及选择性血管栓塞术，１ 例术后残灶接受了辅助性放射治疗。结果：４ 例手术患者中，１ 例于术后４ 年因脑溢血死亡，但ＭＲＩ及ＣＴ 复查肿瘤未见复发；１ 例于术后４ 年复发；１ 例部分切除术后残灶于放疗后６ 个月复查无变化。结论：巨大颈静脉球体瘤联合进路术式有利完全切除肿瘤，而术前配合选择性血管栓塞术可减少术中出血和手术时间，术后残灶放疗可以控制残灶发展。更多还原

【Abstract】 Objective: To evaluate the effects of surgical treatment of giant glomus jugulare tumors. Methods: Six cases of giant glomus jugulare tumors were reviewed. Threedifferent kinds of combined surgical approaches were selected and used in 4 of the 6 cases, and adjuvant therapies were investigated. Results: After the operation, one patient had no recurrence within 4 years before dying of brain bleeding; one had a recurrence after 4 years; the patient with residual tumor had no changes after taking radiotherapy for 6 months. Conclusion: Combinied surgical approaches allow complete resection of the tumor. And preoperative embolization is able to reduce the operation time and blood loss. Radiotherapy is able to control the residual tumor. [更多还原