颈动脉体瘤外科手术规范专家共识

Expert consensus on standard surgical treatment for carotid body tumor

颈动脉体瘤(CBT)是一种较为罕见的肿瘤,原发于颈动脉体化学感受器,属于一种副交感神经节瘤。由于CBT血供丰富,与颈部颅神经、颈动脉关系密切,因此,手术切除难度较大,术中出血较多,并发症发生风险较高,多数外科医师的CBT诊治经验并不丰富。为指导和规范CBT的外科治疗,经多次讨论、总结专家临床经验,并结合国内外文献,特制定《颈动脉体瘤外科手术规范专家共识》,包括CBT的临床表现、分型、术前诊断与评估、外科手术策略与技巧、术后注意事项与并发症处理等多方面内容,供临床参考。

Carotid body tumor(CBT)is a relatively rare tumor that originates from carotid body chemoreceptor and belongs to a type of parasympathetic ganglioma.CBT has a rich blood supply and is closely related to the cervical cranial nerves and carotid arteries.Therefore,surgical resection is difficult,there is more intraoperative bleeding,and the risk of complications is high.Most surgeons have limited experience in the diagnosis and treatment of CBT.In order to guide and standardize the surgical treatment of CBT,after multiple discussions and summaries of expert clinical experience,and combined with domestic and foreign literature,the expert consensus on standard surgical treatment for carotid body tumor is formulated,including clinical manifestations,classification,preoperative diagnosis and evaluation,surgical strategies and techniques,postoperative precautions and complication management of CBT,and other aspects for clinical reference.