摘要
目的 观察外侧开眶术的临床疗效。方法 采用标准外侧开眶、改良外侧开眶及外侧结合内侧开眶 3种术式对武警总医院眼科 1999年 7月至 2 0 0 1年 4月球后肌锥内及泪腺区肿瘤患者70例进行治疗 ,并观察其临床疗效。结果 标准外侧开眶术切除视神经及视神经下方肿瘤 38例 ;改良外侧开眶术切除视神经上方及泪腺区肿瘤 2 8例 (包括眶上、下缘的切除 ) ;外侧结合内侧开眶术切除视神经周围广泛肿瘤 4例。术中全切肿瘤 6 3例 ,3例行眼眶减压 ,3例血管畸形大部切除 ,1例眶尖海绵状血管瘤部分切除 ;眼球突出度 :术后残余 2mm眼球突出者 3例 ,均为血管畸形。眼球内陷2～ 3mm者 7例 ,均为体积较大肿瘤切除后所致 ,如海绵状血管瘤、血管畸形及泪腺肿瘤等。视力提高>2行者 31例 ,视力下降或丧失者 6例 ,无变化者 2 4例 ,失访 9例未记录。眼球运动永久性障碍者 7例 ,上睑下垂者 2例。结论 应根据眼眶肿瘤的性质、位置及范围采取不同术式的外侧开眶术 ,包括眶上、下缘的骨瓣切除使术野扩大 。
Objective To observe the effect of lateral orbitotomy. Methods Lateral orbitotomy for orbital tumors within muscle cone and area of lacrimal gland was performed for 70 cases by standard lateral orbitotomy, modified lateral orbitotomy and lateral orbitotomy combined with medial orbitotomy from July 1999 to April 2001 in Armed Police General Hospital. Results The indications of standard lateral orbitotomy were suitable for the orbital tumor below the optic nerve (38 cases), and modified lateral orbitotomy (involving supra or infra orbital edge) for the orbital tumors above the optic nerve(28 cases), as well as lateral orbitotomy combined with medial orbitotomy for the orbital tumors surrounding the optic nerve (4 cases). There were total removal of orbital tumors in 63 cases, partial removal 4 cases, decompression 3 cases of Graves′ diseases. Conclusion The indications of lateral orbitotomy depend on the category, location and extent of orbital tumors. Lateral orbitotomy involving supra or infra orbital edge enlarges the operative field, and improves the successful rate of orbital removal.
出处
《中华眼科杂志》
CAS
CSCD
北大核心
2002年第7期392-395,I007-002,共5页
Chinese Journal of Ophthalmology
关键词
外侧开眶术
临床
疗效观察
肿瘤
眼科外科手术
Orbital neoplasms
Ophthalmologic surgical procedures
Treatment outcome
