眼眶内肿瘤和眶-颅沟通肿瘤经颅手术治疗22例

发布时间：2018-04-12 23:19

本文选题：眼眶内肿瘤 + 　；参考：《江苏医药》2014年24期

【摘要】：目的总结眼眶内肿瘤和眶-颅沟通肿瘤经颅手术治疗方法和手术技巧。方法回顾分析经颅手术治疗的眼眶内肿瘤和眶-颅沟通肿瘤患者22例的临床表现、手术方法及疗效。其中,眼眶内肿瘤9例,眶-颅沟通肿瘤13例。均以翼点入路为基础,再根据具体情况扩大骨窗范围。结果病灶全切18例,次全切除3例,大部切除1例。术后动眼神经损伤4例,视力下降或失明4例,发热和脑脊液漏各1例。无手术死亡病例。随访4-48个月;除3例失访外,随访期内仅1例患者肿瘤复发二次手术。结论根据病灶的具体情况,采取相应的手术入路,严密保护视神经,实施经颅眼眶内肿瘤和眶-颅沟通肿瘤手术可以在最小创伤下,有效切除病灶。
[Abstract]:Objective to summarize the methods and techniques of transcranial surgery for orbital tumors and orbital-cranial communication tumors.Methods 22 cases of orbital tumor and orbital-cranial communication tumor treated by transcranial surgery were retrospectively analyzed.There were 9 cases of orbital tumors and 13 cases of orbital-cranial communication tumors.Based on the pterygoid approach, the bone window was expanded according to the specific conditions.Results Total resection was performed in 18 cases, subtotal resection in 3 cases and subtotal resection in 1 case.There were 4 cases of oculomotor nerve injury, 4 cases of vision loss or blindness, 1 case of fever and 1 case of cerebrospinal fluid leakage.There were no surgical deaths.The patients were followed up for 4 to 48 months, except for 3 cases who lost the visit, only one patient underwent secondary operation during the follow-up period.Conclusion according to the specific condition of the lesion, the operative approach should be adopted, the optic nerve should be protected closely, the transcranial orbital tumor and the orbito-cranial communication tumor could be excised effectively under the minimal trauma.
【作者单位】：南京医科大学第一附属医院神经外科;
【基金】：江苏省科教兴卫工程医学重点学科基金(XK201117)
【分类号】：R739.7

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