颈动脉体瘤的诊断和治疗

Diagnosis and therapy of carotid body tumors

目的 探讨颈动脉体瘤诊断和治疗经验。方法 分析 1 968～ 2 0 0 1年收治的 46例颈动脉体瘤患者的临床资料。结果 细针穿刺细胞学检查 2例 ,抽出物均为血液 ;血池扫描检查 1 2例 ,1 0例 (83 % )诊断为颈动脉体瘤 ;数字减影血管造影检查 5例 ,均诊断为颈动脉体瘤 ;B超检查 1 5例 ,1 4例 (93 % )诊断为颈动脉体瘤 ;CT检查 7例 ,5例 (71 % )诊断为颈动脉体瘤 ;MRI检查 4例 ,均诊断为颈动脉体瘤 ,其中MRA 2例。 46例均行手术治疗 ,5例接受放射治疗 ,随诊期间肿瘤无复发。结论 B超足以诊断颈动脉体瘤 ,MRI/MRA能够为拟订合理的治疗方案提供帮助。手术是治疗颈动脉体瘤首选的治疗措施。

Objective To summarize the experience in diagnosis and therapy of carotid body tumor Methods A retrospective review was performed of 46 patients with carotid body tumors diagnosed and treated between February 1968 and March 2001 Results Fine needle aspiration was performed in 2 cases with the the aspirate consisted of blood cells to undergo cytological examination Blood pool imaging was performed in 12 cases, among which 10 cases (83%) were considered as carotid body tumor Digital subtraction angiography was performed in 5 cases, all of which were correctly diagnosed Fifteen cases underwent ultrasound examination, 14 of which (93%) were considered as carotid body tumor Seven cases underwent computed tomography, among which 5 cases (71%) were considered as carotid body tumor Four cases underwent magnetic resonance imaging, all of which were correctly diagnosed and 2 of which underwent magnetic resonance angiography All 46 cases accepted surgical operation, five of them accepted radiotherapy too The tumors didn't recur during the follow up period Conclusion Ultrasonography is sufficient for the diagnosis of carotid body tumors MRI/MRA help to draw out reasonable treatment fashion Surgery is the first choice among treatments for carotid body tumors Radiotherapy helps control effectively the aggression of tumors Intraoperative meticulous dissection may decrease the incidenc of postoperative complications