颈动脉体瘤的治疗进展

张 臻1, 朱 吉海2
1、青海大学
2、青海大学附属医院

摘要


颈动脉体瘤(CBT)是一种罕见的头颈部肿瘤,其诊断与治疗对临床医生具有挑战性。影像学技术在CBT
的早期诊断中起着至关重要的作用,CT血管造影(CTA)、磁共振成像(MRI)、数字减影血管造影(DSA)及超声
检查是当前最常用的影像学手段。这些技术不仅有助于肿瘤的位置和血管关系的明确,还为手术方案的制定提供了
重要信息。随着技术的进步,影像学方法的应用逐渐成熟,尤其是CTA和MRI在肿瘤评估和血管关系分析中表现出
优势。手术切除是治疗CBT的主要方法,尤其是在Shamblin III型肿瘤中,血管重建技术成为了治疗的核心。手术中
血管修复不仅能够恢复正常血流,还能有效预防脑缺血等并发症的发生。术后,神经损伤是影响患者预后的关键因
素,术后康复与长期随访至关重要。本文综述了影像学诊断进展、外科治疗及术后并发症管理,为CBT的治疗提供
了重要参考。

关键词


颈动脉体瘤(CBT);影像学诊断;CT血管造影;外科手术切除

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参考


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