颈动脉体瘤和颈静脉球体瘤的手术治疗

Treatment of operation of carotid body tumor and glomus jugular tumor

目的 :探讨颈静脉球体瘤和颈动脉体瘤的临床特性 ,手术要点。方法 :单纯颈动脉体瘤者采用胸锁乳突肌前缘切口。颈静脉球体瘤及同侧同时患有颈动脉体瘤者 ,一律采用大“S”形切口 ,显露颈静脉孔和岩尖的颞下进路。结果 :5例颈动脉体瘤患者 ,瘤体均彻底切除且完好保留了颈内动脉。 5例颈静脉球体瘤患者 3例肿瘤切除彻底 ,2例有意姑息切除瘤体 ,经 1～ 3年随访 ,未见残余肿瘤增大。结论 :化学感受器瘤具有一定的家族性。

Objective:To study the clinical characteristics and outline of surgery for carotid body tumor and glomus jugular tumor.Method:Incisions of anterior border of sterno mastoid muscle was made for simple carotid body tumor.A big S shape incisions and infratemporal fossa approach were employed which exposure the jugular foramen and apex of petrous for glomus jugular tumor or suffered carotid body tumor and glomus jugular tumor simultaneously in same side.Result:Five cases of carotid body tumor were removed thoroughly and the internal carotid artery were intact reserved.In 5 cases of glomus jugular tumor 3 cases were removed thoroughly,other 2 cases of glomus jugular tumor were palliative operation,the remnant tumor have not increased in size after 1 to 3 years follow up.Conclusion:Chemodectoma have some genetic characteristic. Surgical intervention is the cardinal method of treatment.