Impact of preoperative transarterial embolization of carotid body tumor: A single center retrospective cohort experience
Impact of preoperative transarterial embolization of carotid body tumor: A single center retrospective cohort experience
复制标题
颈动脉体肿瘤术前经动脉栓塞的影响：单中心回顾性队列经验
DOI：
10.1016/j.ijsu.2018.04.032
复制
发表时间：
2018-06-01
影响因子：
15.3
通讯作者：
Liu, Peng
中科院分区：
文献类型：
--
作者：
Zhang, Jianbin;Fan, Xueqiang;Liu, Peng
目的：评价超选择性动脉栓塞术治疗颈动脉体瘤的可行性和疗效。方法：回顾分析2006年1月至2016年1月收治的29例颈动脉体瘤患者的临床特点、影像检查、治疗策略及预后。根据是否行术前动脉栓塞术，将患者分为栓塞组和非栓塞组。比较两组患者的术中出血量、手术时间及围手术期并发症。结果：共切除颈动脉体瘤29例。中位出血量：栓塞组为80mL，非栓塞组为200mL，差异有统计学意义(P=0.001)。中位手术时间：栓塞组为120min，非栓塞组为160min，差异有统计学意义(P=0.006)。研究人群中未发生死亡、瘫痪或异位栓塞症。结论：手术切除颈动脉体瘤安全可靠，是治疗颈动脉体瘤的首选方法。术前经动脉超选择性栓塞术可明显减少出血量，缩短手术时间，但不能降低颅神经损伤的发生率。
Objective: To evaluate the feasibility and efficacy of preoperative hyperselective transarterial embolization in carotid body tumor resection.Methods: Retrospectively analyze the clinical feature, imaging examination, treatment strategy and prognosis of 29 carotid body tumor patients from January 2006 to January 2016. According to whether to carry out the preoperative transarterial embolization, the patients were classified into embolization group and non-embolization group. The blood loss, operative time and perioperative complications were compared between the 2 groups.Results: 29 carotid body tumors were resected. The median of blood loss was 80 mL in embolization group and 200 mL in non-embolization group, the difference was statistically significant (P = 0.001). The median of operative time was 120 min in embolization group and 160 min in non-embolization group, the difference was statistically significant (P = 0.006). No death, paralysis or ectopic embolism occurred in the study population. 4 patients in embolization group and 4 in non-embolization group suffered from cranial nerve injury.Conclusion: Surgical resection of carotid body tumor is safe and reliable, which is the first choice in the treatment of carotid body tumor. Preoperative transaterial hyperselective embolization can significantly reduce blood loss and shorten operative time, but it dose not decrease the incidence of cranial never injury.