摘要
目的 探讨眼眶肿瘤的种类、手术进路、治疗效果及并发症.方法 对我院2004～2005年收治的眼眶肿瘤45例（45眼）的临床表现、影像检查和治疗方法进行分析.结果 45例眼眶肿瘤中囊肿12例,海绵状血管瘤10例,静脉性血管瘤6例,泪腺多形性腺瘤5例,神经鞘瘤、非霍奇金淋巴瘤各3例,泪腺腺样囊性癌2例.视神经胶质瘤、视神经鞘脑膜瘤、神经纤维瘤及眼眶骨瘤各1例.45例均进行手术摘除,其中前路开眶32例,外侧开眶9例,经筛窦内侧开眶2例,外侧结合内侧开眶1例,经颅开眶1例.术后6个月复查上睑下垂2例,瞳孔改变3例,眼球运动受限2例.结论 眼眶肿瘤的临床表现具有多样性;大多因眼球突出而就诊;影像学检查显示多种形状的占位性病变,治疗方法以手术为主,注意手术技巧和术式的选择可以防止复发和出现并发症.
Objective To analyze the kinds, surgical approaches, effects and complications of orbital neoplasms. Methods 45 cases of orbital neoplasms were analysed by clinical feature, imaging diagnosis and treatment. Results In 45 cases of orbital diseases, there were 12 cases of orbital cyst, 10 cases of cavernous hemangioma,6 cases of venous hemangioma,5 cases of benign pleomorpic adenoma of lacrimal gland,3 cases each of neurilemoma and non- Hodgkin＇ s disease,2 cases of adenoid cystic carcinoma of lacrimal gland, 1 case each of optic nerve glioma, meningioma, neurofibroma and osteoma. All the cases were treated surgically,in which 32 cases were adopted anterior orbitotomy,9 cases with lateral orbitotomy,two cases with medial orbitotomy via ethmoidal sinus, 1 case with combined medial and lateral orbitotomy and transfrontal orbitotomy. There were 2 cases of ptosis,3 cases of deformed pupil,2 cases of extraocular muscle impairment with in 6 months after operation. Conclusions Orbital neoplasms have variant clinical manifestations, most of the cases with exophthalmos. Imaging testing like B-UL,CT or MRI show orbital occupying image. The best treatment for orbital neoplasms is surgical operation.
出处
《眼外伤职业眼病杂志》
北大核心
2007年第6期428-430,共3页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词
眼眶肿瘤
手术
治疗
orbital neoplasms
operation
treatment
