Efficacy Analysis Of Surgical Treatment With Carotid Body Tumor

PurposeTo summarize and discuss the effective diagnosis,treatment and prevention of postoperative complications of carotid body tumor.MethodsA retrospective review was performed on 14 patients with carotid body tumors diagnosed and treated in The-First-Affiliated-Hospital of Bengbu Medical University between 2010 and 2018 in aspects of Diagnosis,surgical treatment and postoperative recovery.Results14 patients first receive ultrasound examination,diagnosis was made through CTA scanning,14 patients’ operation were performed successfully,of which 2 cases underwent simple removal,12 cases co-resection of tumor and external carotid artery,1 cases co-resection of tumor and external and internal carotid artery,which were taken vascular reconstruction.After operation,1 patient developed corner of the mouth skew and loll lift,and 1 patients developed swallowing difficulty,all the symptoms disappeared through active treatment.Twelve patients were followed up after operation,and neck color Doppler ultrasound was used for examination.The follow-up rate was 85.71%,and the follow-up time was 6-60 months.No recurrence or death occurred during the follow-up.ConclusionsColor Doppler ultrasound has become a very effective method for screening CBT and post-operation follow-up due to its non-invasive and convenient features.DSA,CTA and MRA has an unique advantages in diagnosing CBT.At present,surgical resection of tumor is still the most effective method for treatingCBT.Moreover,adequate preoperative preparation is of great significance to the success of the operation.Both the operator and the anesthesiologist should cooperate with each other to protect the brain throughout the operation.Carotid artery reconstruction can achieve good therapeutic effect.