【摘要】 报告 1994～ 1998年诊治颈动脉球体瘤 3例 ,术前误诊及诊断不明确 2例 ,手术 +放射治疗 1例 ,手术切除 2例 ;临床均治愈。指出诊断应有颈动脉球体瘤三主征和 B超三征 ,即颈部非甲状腺肿块包绕颈动脉并见颈动脉壁局限性增厚 ,管腔受压变窄 ;肿物位于颈内外动脉分叉部并可见其大小范围 ;颈内外动脉间距增宽等临床可以诊断。结合彩超及/或 DSA和 MRI的诊断更佳。治疗上术前行颈动脉压迫训练或缓慢阻断或术时测颈内动脉残压 ;麻醉可清醒麻醉或清醒麻后全麻。手术先于颈总动脉下放橡皮带或细导尿管 ,结扎颈外动脉 ,术时尽量行肿瘤剥离术。术后应注意脑部并发症等。更多还原

【Abstract】 Three patients with carotid body tumor were treated by surgery in our department from 1994 to 1998. There were 3 females with age from 23 to 40 years old. Among 3 cases, 2 cases were misdiagnosis as neurilemmoma before operation. The size of tumor was 2.5×2.5cm in 1, 3.0×3.0cm in 2. The treatment methods were surgery alone in 2, combined radiotherapy in 1. All patients were cured who had not serious complications. We think that the three symptoms of carotid body tumor are important bases for diagnosis on this disease. However, color B ultrasonography, DSA, CT or MRI also provided informations for useful diagnosis.更多还原