颈静脉球瘤的生物学行为及围手术期处理

The biological behavior of jugular glomus tumor and the perioperative management

目的 颈静脉球瘤特别是嗜铬性颈静脉球瘤的手术 ,往往可能发生严重的并发症甚至引起死亡 ,了解其生物学行为 ,作周密的围手术期处理甚为重要。方法 对 5例颈静脉球瘤 (包括 1例嗜铬性颈静脉球瘤 )的诊治进行回顾性研讨 ,术前作实验室及影像学检查 ,选择性地作CT、磁共振成像 (magneticresonanceimaging ,MRI)、131I 间位碘代苄胍 (131I meta iodobenzylguanidine,131I MIBG)闪烁照相、数字减影血管造影术 (digitalsubtractionangiography ,DSA)等 ,并用药物治疗或加介入疗法 ,经过充分准备之后再进行手术治疗。结果 5例患者经围手术期的充分准备 ,均获得手术成功。结论 做好围手术期的处理可减少手术中的并发症 ,保证手术的成功。

Objective Based on our experiences, the biological behavior and perioperative management of the jugular glomus tumor are introduced and discussed in order to prevent the possible mortality and morbidity Methods Five cases of jugular glomus tumor treated in our institute were reviewed Laboratory examination, modern imaging techniques such as CT, MRI, 131 I MIBG, DSA, as well as embolization of the blood vessels and/or antihypertensive drugs were selectively used in the preoperative period Results Surgical removal of the tumors was successful in this group Conclusion Perioperative management plays an important role in the prevention of surgical complications