摘要
目的评估术前CT血管造影(CTA)影像特征对于颈动脉体瘤术后并发症的预测价值。方法回顾性分析高海拔地区经病理确诊的101例颈动脉体瘤患者的临床和影像资料。用统计学方法评估肿瘤术前影像特征与术后结果的相关性。结果患者平均年龄为(49.1±10.3)岁,女性占比为82.7%。术中出血量随着Shamblin分型的增大而增加(P<0.05)。术中出血量与肿瘤大小呈正相关,而与肿瘤上缘到颅底的距离(TDBS)呈负相关。术后颅神经损伤的发生率为47.5%,术后颅神经损伤与TDBS呈负相关。结论颈动脉体瘤术前CTA特征与术后并发症高度相关,一定程度上可以预测手术风险。
Objective To evaluate the predictive value of preoperativecomputed tomography angiography(CTA)Imaging features for postoperative complications of carotid body tumor(CBT).Methods Retrospective analysis of clinical and imaging data of One hundred and onepathologically diagnosed CBTsin a high altitude area.Statistical methods were used to evaluate the correlation between preoperative imaging features and postoperative results.Results The average age of the patients was(49.1±10.3)years old,and the female proportion was 82.7%.Intraoperative blood loss increased with the increase of Shamblin classification(P<0.05).Intraoperative blood loss was positively correlated with tumor size,and negatively correlated with the distance from the upper edge of the tumor to the skull base(TDBS).The incidence of postoperative cranial nerve injury was 47.5%,and the postoperative cranial nerve injury was negatively correlated with TDBS.Conclusion Preoperative CTA features of carotid body tumors are highly correlated with postoperative complications,which can predict the risk of surgery to a certain extent.
作者
曹云太
鲍海华
张国晋
张婧
严小红
温生宝
赵国颖
周俊林
CAO Yuntai;BAO Haihua;ZHANG Guojin(Department of Radiology,Affiliated Hospital of Qinghai University,Xining,Qinghai Province 810001,P.R.China)
出处
《临床放射学杂志》
北大核心
2021年第2期220-224,共5页
Journal of Clinical Radiology
基金
青海大学附属医院中青年科研基金一般项目(编号:ASRF-2017-YB-13)
