摘要
目的:通过对10例头颈部副神经节瘤患者诊断及治疗回顾性分析,探讨64排螺旋CT(64-MSCT)、CT血管造影(CTA)及数字减影血管造影(DSA)在头颈部副神经节瘤诊治中的作用及手术过程。方法:自2003年1月至2007年12月我科收治的10例头颈部副神经节瘤患者,其中6例为颈动脉体瘤,3例为颈静脉球瘤,1例为迷走神经副神经节瘤,对其分别进行了64-MSCT、CTA或DSA检查,对其影像学进行分析,对于手术情况进行总结。结果:64-MSCT、CTA及DSA图像清楚显示头颈部副神经节瘤的位置、大小、边界、肿瘤特征性表现及与颈动脉的关系,可为手术提供重要的信息。64-MSCTA重建图像清晰,可直观、立体、多角度的显示肿瘤与颈动脉的关系。对10例患者成功地实施了手术,除1例患者偶有头晕,1例患者术后偶有呛咳外,其他8例患者恢复良好。结论:64-MSCT、CTA及DSA影像可为头颈部副神经节瘤的诊断、术前准备、危险性评价及手术提供重要的信息。术前准备完善、术中操作严谨是手术成功的关键。
Objective： To evaluate the role of 64 - MSCT （ Multi - slice spiral CT）, CTA （ CT angiography） and DSA （ Digital subtraction angiography） in the diagnosis of paragangliomas of head and neck, and to summarize the surgical expe- rience. Methods： 10 patients with paragangliomas in head and neck were collected between January 2003 and December 2007, including 6 carotid body tumors, 3 glomus jugular tumors, and 1 vagal paraganglioma. All patients were checked by 64 - MSCT, CTA or DSA, and their images were retrospectively reviewed. The surgery was carried out successfully and the surgical experience was summarized. Results： The images of 64 - MSCT, CTA and DSA clearly showed the location, size, border, the radiological features of paragangliomas and the relation between the tumor and carotid artery. The images per- formed by 64 - MSCTA clearly and directly showed the relationship between the tumor and carotid artery. The information from the radiological images was important to the surgeon. After operation, 8 patients were well recovered, while 1 patient had dizziness and 1 patient had choking occasionally. Conclusion： The images of 64 - MSCT, CTA and DSA can provide important information for diagnosis, preoperative preparation, dangerous evaluation and surgery of paragangliomas. Suffi- cient preoperative preparation and careful operational procedure are crucial to reduce the post -operative complications.
出处
《口腔医学研究》
CAS
CSCD
北大核心
2009年第3期308-311,共4页
Journal of Oral Science Research
