【摘要】 目的 探讨颈动脉体瘤动脉造影及栓塞的意义。方法 对13例经病理证实的颈动脉体瘤进行动脉内栓塞治疗，栓塞后行手术切除，并与单纯手术病例相对照。结果 动脉栓塞组术野清楚，出血少，肿瘤容易剥离，瘤体剥离率达45%，一期切除达100%，取得较好效果。随访2个月～5年，均未出现脑缺血症状，彩超复查移植血管通畅。出血量统计，动脉栓塞组平均出血量为(325±170)ml，单纯手术组平均出血量为(650±300)ml，两组比较差异有非常显著性(P<0.01)。结论 动脉内栓塞作为颈动脉体瘤的手术前治疗方法，可以使出血减少、术野清晰，肿瘤分离顺利，可以达到提高疗效、减少术后并发症以及预后较好的作用。

    关键词 颈动脉体瘤 动脉栓塞 临床探讨

    Clinical study of transartery embolization in carotid-body tumor

    Chen Wei，Zhuang Wenquan，Yang Jianyong，et al.

    Department of Interventional Radiology，the First Affiliated Hospital， of Sun Yat-Sen University，Guangzhou510080.

    【Abstract】 Objective To evaluate the value of pre-operative intravascular angiography and embolization in carotid-body tumor.Methods 13cases pre-operative arterography and embolization were performed in the patients with carotid-body tumor and compared with simple surgical resection.Results Pre-operative embolization made the surgical procedure easier and less bleeding.Entire ablation of the lesion was obtained in45%cases ......