摘要目的:观察和分析未术前栓塞颈动脉体瘤(carotid bodytomor, CBT)患者手术切除后的并发症发生情况。方法:按照严格的纳入排除标准，纳入本中心2011年1月至2016年12月确诊为CBT，行手术切除且未术前栓塞，2年内随访数据完善的101例患者。统计和分析其临床数据资料。结果:101例CBT患者的手术切除成功率为100%。按照Shamblin分型，患者围手术期主要的不良事件发生率：舌偏(Ⅰ：4例，36.4%; Ⅱ：8例，19.5%; Ⅲ：13例，26.5%)，声音嘶哑(Ⅰ：1例，9.1%; Ⅱ：4例，9.8%; Ⅲ：7例，14.3%),吞咽困难(Ⅰ：0例；Ⅱ：2例，4.9%; Ⅲ：7例，14.3%)，局部血肿(Ⅰ：0例；Ⅱ：0例；Ⅲ：1例，2.0%)。总体围手术期不良事件发生率：Shamblin Ⅰ型5例(45.5%)，Ⅱ型14例(34.1%)，Ⅲ型28例(57.1%)。术后2年随访发现，Shamblin Ⅰ型无不良事件；Shamblin Ⅲ型不良事件发生率多于Shamblin Ⅱ型，但差异无统计学意义( P>0.05)。CBT切除手术最容易损伤的三个神经是：舌下神经(21.9%)，迷走神经(20.3%)和喉返神经(18.8%)。 结论:随访结果表明CBT患者手术切除前不进行术前栓塞术后并发症的发生率并不高，与患者预后无明显相关。

abstractsObjective:To investigate the outcomes of surgical treatment for carotid body tumor(CBT) without preoperative embolization at our institution.Methods:101 patients undergoing surgical treatment for CBT without preoperative embolization from 2011 to 2016 were followed-up for 2 years.Results:Complete resection of the CBT was achieved in all 101 cases(100%). Post-operative adverse events(AEs) mostly observed during hospitalization were as tongue bias(Ⅰ: 4, 36.4%; Ⅱ: 8, 19.5%; Ⅲ: 13, 26.5%), hoarseness(Ⅰ: 1, 9.1%; Ⅱ: 4, 9.8%; Ⅲ: 7, 14.3%), dysphagia (Ⅰ: 0; Ⅱ: 2, 4.9%; Ⅲ: 7, 14.3%) and local hematoma(Ⅰ: 0; Ⅱ: 0; Ⅲ: 1, 2.0%). No other serious AEs were observed. The total incidence of AEs was 5(45.5%) in type Ⅰ patients, 14(34.1%) in type Ⅱ, and 28(57.1%) in type Ⅲ. At the end of 2 years of follow-up, there was no AEs in type Ⅰ patients. The number of patients with adverse events in type Ⅲ was greater than that in type Ⅱ ( P>0.05). Three most frequently injured cranial nerves were hypoglossal nerve(21.9%), vagus nerve(20.3%), and recurrent laryngeal nerve(18.8%). Conclusion:Surgical management without preoperative embolization for CBT patients does not increase the risk of complications nor is it related to prognosis.