颈动脉体瘤外科手术规范专家共识

《血管与腔内血管外科杂志》223年3月第9卷第3期Journal of Vascular and Endovascular Surgery Vol.9,Na.3,Mar 2023·专家共识·颈动脉体瘤外科手术规范专家共识△中国微循环学会周围血管疾病专业委员会摘要：颈动脉体瘤(CBT)是一种较为罕见的肿瘤，原发于颈动脉体化学感受器，属于一种副交感神经节瘤。由于CBT血供丰富，与颈部颅神经、颈动脉关系密切，因此，手术切除难度较大，术中出血较多，并发症发生风险较高，多数外科医师的CBT诊治经验并不丰富。为指导和规范CBT的外科治疗，经多次讨论、总结专家临床经验，并结合国内外文献，特制定《颈动脉体瘤外科手术规范专家共识》，包括CBT的临床表现、分型、术前诊断与评估、外科手术策略与技巧、术后注意事项与并发症处理等多方面内容，供临床参考。关键词：颈动脉体瘤：外科手术：辅助栓塞：专家共识中图分类号：R543文献标识码：Adoi:10.19418/j.cnki.issn2096-0646.2023.03.01Expert consensus on standard surgical treatment for carotid body tumorAChinese Society of Microcirculation Professional Committee of Vascular DiseaseAbstract:Carotid body tumor (CBT)is a relatively rare tumor that originates from carotid body chemoreceptorand belongs to a type of parasympathetic ganglioma.CBT has a rich blood supply and is closely related to the cervicalcranial nerves and carotid arteries.Therefore,surgical resection is difficult,there is more intraoperative bleeding,andthe risk of complications is high.Most surgeons have limited experience in the diagnosis and treatment of CBT.In orderto guide and standardize the surgical treatment of CBT,after multiple discussions and summaries of expert clinicalexperience,and combined with domestic and foreign literature,the expert consensus on standard surgical treatment forcarotid body tumnor is formulated,including clinical manifestations,classification,preoperative diagnosis and evaluation,surgical strategies and techniques,postoperative precautions and complication management of CBT,and other aspectsfor clinical reference.Key words:carotid body tumor,surgical treatment,adjunctive preoperative embolization;expert consensus1共识形成方法颅神经、颈动脉关系密切，手术切除容易损伤神经及颈动脉，从而导致一系列并发症，因此，对手术策略制定和手颈动脉体瘤(carotid body tumor,.CBT)是位于颈动术操作技巧要求较高。长期以来，仅国内外少数研究报道脉分叉处血供丰富的副交感神经节瘤，占颈部副神经节了CBT的外科治疗经验，多数外科医师对CBT的诊治经瘤的60%~70%川，发病率为(1~2)1/10万，发病机制尚未明验并不丰富，学术界也尚未形成统一的外科诊疗规范。由确，可能与慢性缺氧、长期居住于高原地区、琥珀酸脱氢中国微循环学会周围血管疾病专业委员会发起并组织专业酶(succinate dehydrogenase,SDH)基因家族成员突变等有委员会专家组拟定关键问题，经多次讨论、总结专家临床关，多表现为颈部无痛性肿物回。CBT生长缓慢并侵犯颈经验，并结合国内外文献报道，特制定《颈动脉体瘤外科动脉及颅神经，少部分患者发生恶性病变川，如无特殊禁手术规范专家共识》，内容包括CBT的临床表现、分型、术忌证应积极行手术切除治疗。由于CBT血供丰富，与颈部前诊断与评估、外科手术策略与技巧、术后注意事项与并[基金项目]中央高水平医院临床科研专项(2022-PUMCH-B-100):中国医学科学院医学与健康科技创新工程(2021-I2MC&T-A-006)[通信作者]郑月宏(Zheng Yuehong,corresponding author),主任医师、，科主任、博士生导师，E-mail:yuehongzheng@yahoo.com