摘要
目的临床分析60例眼眶疾病的手术疗法并总结经验。方法对60例(60眼)眼眶病患者(其中眼眶肿瘤49例,爆裂性骨折5例,眼眶内异物6例)根据病因及病变位置选择不同的手术入路,进行手术治疗,术后半年观察视力及外观变化。结果肿瘤完整取出者45例,肿瘤囊内取出、囊袋完整摘除或肿瘤部分摘除者3例,肿瘤未取出者1例。异物完整取出者6例。5例骨折患者medper在位,眼球凹陷完全矫正者4例,残留2mm者1例。术后视力无变化者59例,术后视力丧失者1例;上睑下垂者1例。结论术前应行必要的影像学检查并详细分析检查结果,选择最佳手术入路。充分估计手术的风险和可能出现的并发症,制定周密的手术方案,与患者进行有效的沟通。尽量在直视下进行手术操作,控制术中的出血。密切监测瞳孔的状态。术后做好引流措施及常规进行视力监测。
Objective Clinical analysis of 60 cases of orbital disease treated with surgery and a summary of the treatment effects of different surgical methods.Methods Sixty cases （60 eyes） of orbital disease （49 cases of orbital tumors,5 cases of blowout fracture,6 cases of orbital foreign body） were treated with different surgical methods according to the pathology.Postoperative visual acuity and appearance changes were assessed 6 months after surgery.Results Forty-five cases of tumors were completely removed,3 cases were partially removed, and 1 tumor was riot removed. Foreign bodies were completely removed in all 6 eases. Visteal acuity did not change in 59 cases; 1 ease lost visual acuity postoperatively. Ptosis was found in 1 ease. Conclusion Before surgery is performed, a neeessary detailed analysis of imaging studies and test results should be made in the selection of the best surgical approach. Guidelines tor sueeessful surgery include： a complete estimation of the risks of surgery and possible eomplications, the development of a well-surgery program, effective communication with patients, performing surgery under direct vision, the control of intraoperative bleeding; close monitoring of the status of the pupil, good drainage measures and routine postoperative visual acuity monitoring.
出处
《眼视光学杂志》
2009年第6期459-459,463,共2页
Chinese Journal of Optometry & Ophthalmology
