山东大学耳鼻喉眼学报 ›› 2025, Vol. 39 ›› Issue (4): 1-18.doi: 10.6040/j.issn.1673-3770.0.2023.500

• 鼻咽癌相关颈动脉爆裂综合征多学科救治--专家共识 •    下一篇

鼻咽癌治疗后并发颈动脉爆裂综合征的临床处理专家共识

邱前辉,肖旭平,杨钦泰,叶菁,邓泽义,王德生,谭国林,蒋卫红,卢永田,唐隽,石照辉,邓晓聪,刘遗斌,王跃武,段传志,杜德坤,白小欣,陈文伙,莫立根,蔡楚伟,曾鹏,何旭英,杨一梅,赵洲洋,陈健龙,赵充,林志雄,李先明,李曙平,陈冬平,陈勇,黄莹,陈春燕,韩非,黄理金,瞿申红   

  1. 专家单位附文后
  • 出版日期:2025-07-20 发布日期:2025-08-11

Expert consensus on clinical management recommendations for carotid blowout syndrome secondary to NPC treatment

QIU Qianhui, XIAO Xuping, YANG Qintai, YE Jing, DENG Zeyi, WANG Desheng, TAN Guolin, JIANG weihong,   

  1. LU yongtian, TANG Jun, SHI Zhaohui, DENG Xiaocong, LIU Yibin, WANG Yaowu, DUAN Chuanzhi, DU Dekun, BAI Xiaoxin, CHEN Wenhuo, MO Ligeng, CAI Chuwei, ZENG Peng, HE Xuying, YANG Yimei, ZHAN Zhouyang, CHEN Jianlong, ZHAO Chong, LIN Zhixiong, LI Xianming, LI Shuping, CHEN Dongping, CHEN Yong, HUANG Ying, CHEN Chunyan, HAN Fei, HUANG Lijin, QU Shenhong(Attached by the expert unit
  • Online:2025-07-20 Published:2025-08-11

PDF (PC)

66

摘要： 颈动脉爆裂综合征(carotid blowout syndrome, CBS)是由颈动脉及其分支破裂而造成的好发于头颈部肿瘤患者放射治疗后的严重并发症。以放疗为首要治疗的鼻咽癌患者容易出现放疗后靶区周边组织坏死以及肿瘤复发,致使鼻咽癌放疗后CBS发生比例显著升高。由于颈动脉爆裂的高死亡率和高致残率,鼻咽癌CBS对临床医师而言无疑是一个巨大的挑战。为提高临床医生对鼻咽癌治疗后并发CBS的临床处理能力,基于国内外指南及近年相关研究报道,制定了鼻咽癌治疗后并发CBS的临床处理专家共识。本共识从CBS的发病机制、危险因素及影像学特征出发,详细阐述了CBS应急处理、综合处理策略、临床护理要求及预防方案,以期为进一步提升鼻咽癌治疗后CBS的治疗水平提供相应的理论依据及临床指导。

关键词: 颈动脉爆裂综合征, 鼻咽癌, 放射治疗

Abstract: Carotid Blowout Syndrome(CBS)refers to rupture of the carotid artery and/or its branches. CBS is a life-threatening complication of head and neck cancer after radiotherapy. Because radiotherapy is the first-line treatment for nasopharyngeal carcinoma, radiation-induced necrosis and tumor recurrence increase patient risk of experiencing CBS. The high mortality and morbidity of CBS after nasopharyngeal carcinoma radiotherapy poses a great challenge for clinicians. To enhance understanding and develop standards for application of CBS management, we organized an expert consensus on a comprehensive management strategy for nasopharyngeal carcinoma-related CBS, based on domestic and international guidelines and relevant literature. Emergency processing, a comprehensive management strategy, and a clinical nursing and prevention program are presented in detail in this consensus, which aims to provide a theoretical basis and clinical recommendations for more effective treatment of nasopharyngeal carcinoma-related CBS based on pathogenesis mechanism, predisposing factors, and characteristics of imaging during examination.

Key words: Carotid blowout syndrome, Nasopharyngeal carcinoma, Radiotherapy

中图分类号: 

  • R739.63
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