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題名 | 以雙極電燒分離手術摘除巨大頸動脈體瘤--二例報告=Bipolar Cautery Dissection for Removal of Large Carotid Body Tumors--Report ot Two Cases |
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作者 | 郭士彰; 李明謙; 蘇志英; | 書刊名 | 中華民國耳鼻喉科醫學雜誌 |
卷期 | 34:4 民88.07-08 |
頁次 | 頁347-351 |
分類號 | 416.212 |
關鍵詞 | 頸動脈體瘤; 雙極電燒; Carotid body tumor; Bipolar cauterization; |
語文 | 中文(Chinese) |
中文摘要 | 頸動脈體瘤是一種不常見的頸部腫瘤,其發生的位置在總頸動脈分叉處。由於腫 瘤常緊黏連於內外頸動脈,故手術摘除對頭頸部外科醫師是一挑戰。一般而言,以手術刀或 單極電燒均不易克服術中大量出血之危險,對於較大之頸動脈體瘤手術,有時還必須藉由心 臟血管外科醫師以血管分流手術才能將之摘除。 本文報告 2 例巨大頸動脈體瘤之病例,我 們使用雙極電燒沿著頸動脈壁外膜下層 (subaduentitial plane) 剝離腫瘤之方法,在極少 之流血量下完全摘除腫瘤,並避免傷到臨近的顱神經,病人術後恢復良好。我們相信以雙極 電燒分離手術摘除巨大頸動脈體瘤之方法,可有效避免採用傷害性更大的頸動脈分離術 (carotid artery bypass)。 |
英文摘要 | Carotid Body tumors are relatively rare and may pose a difficult surgical problem because of their vascution and compression of cranial nerves in can the neck, Surgical dissection using knife or unipolar cautery there can cause extensive blood loss. Carotid artery bypass shunt is sometimes needed for removal of large tumors. In this paper, two cases of large carotid body tumors are reported. The tumors were dissected apart from the carotid arteries in the subadventitial plane by using the bipolar cautery method. Particular attention was paid not to damage the neighboring cranial nerves. The blood loss was minimal, and the results were satisfactory. We believe that meticulous dissection by suing the bipolar cautery method can effectively eliminate the need of carotid artery bypass shunt placement in the operation of a large carotid body tumor. |
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