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饮食养生:颈静脉动瘤是怎么回事

发病高峰年龄为41~70岁,女性多见,多为单发,生长缓慢,病程从1个月到28年不等。

The peak age of the disease was 41-70 years old. Most of the patients were female, and the growth was slow. The course of the disease ranged from 1 month to 28 years.

以后组脑神经受累为主,该病属于良性肿瘤,但由于其位置特殊、血供丰富,瘤体较大时可侵犯周围结构,表现出恶性潜能。

In the latter group, the brain nerves were mainly involved. The disease belongs to benign tumor, but because of its special location and rich blood supply, the tumor may invade the surrounding structures when it is large, showing malignant potential.

guilol和rosenwasser(1940)首先报告颈静脉球瘤手术切除,但由于肿瘤组织供血丰富,局部解剖复杂,给手术切除肿瘤增加了难度。

Guilol and rosenwasser (1940) first reported the surgical resection of glomus jugulare tumor. However, due to the rich blood supply of tumor tissue and the complex local anatomy, it is difficult to remove the tumor.

肿瘤侵入咽鼓管并沿管周气房或颈内动脉管生长可进入岩尖、海绵窦和中颅窝,出现面部麻木、等症状。

The tumor invades eustachian tube and grows along the trachea or internal carotid artery. It may enter petrous apex, cavernous sinus and middle cranial fossa. It may cause facial numbness and other symptoms.

3、颈静脉动瘤如何诊断3.1、头颅x线平片 颈静脉孔像可见骨孔扩大,骨质破坏,当肿瘤较大时,可有岩尖、中颅窝、枕大孔及内听道骨质改变。

3. How to diagnose jugular arterioma 3.1. The jugular foramen can be seen in X-ray plain film of the head with enlarged bone foramen and bone destruction. When the tumor is large, there may be bone changes in petrous apex, middle cranial fossa, foramen magnum and internal auditory canal.

骨窗像见肿瘤附近部位骨质破坏优于x平片。

The bone destruction near the tumor was better than X-ray.

肿瘤呈等t1和长t2不均信号影,轮廓不规则,注药后明显强化,边界清晰。

The tumor showed equal T1 and long T2 signal, irregular contour, obvious enhancement and clear boundary after injection.

单纯放射治疗主要适应于年老体弱,有严重其他脏器疾病不能承受手术打击的病人。

Radiotherapy alone is mainly suitable for the patients who are old and frail, have serious diseases of other organs and can not bear the impact of surgery.

3、手术治疗 为了防止功能性颈静脉球瘤术中产生高血压危象的危险,术前应检查病人心、血管系统功能,注意有无高血压、心脏病等疾患,测24h尿中香茶扁桃酸(vam)、三甲基肾上腺素、儿茶酚胺和5-羟色胺的浓度,测定前3天应停服有关儿茶酚胺类药物防止假阳性出现。

3. In order to prevent the risk of hypertensive crisis in the operation of functional glomus jugulare tumor, we should check the function of the heart and vascular system before operation, pay attention to whether there are hypertension, heart disease and other diseases, measure the concentration of vanillic acid (VAM), trimethyl adrenaline, catecholamine and 5-hydroxytryptamine in 24 hours urine, and stop taking catecholamines 3 days before operation to prevent false positive.

饮食养生:颈静脉动瘤是怎么回事

发病高峰年龄为41~70岁,女性多见,多为单发,生长缓慢,病程从1个月到28年不等。The peak age of the disease was 41-70 years old. Most of the patients were female, and th

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