發(fā)布時間：2018-05-18 11:27

  本文選題：眼眶腫瘤 + 手術(shù)入路的選擇　； 參考：《吉林大學(xué)》2011年碩士論文

【摘要】：目的:探討不同手術(shù)方式治療眼眶腫瘤的臨床療效。 方法:收集我院眼科2005年1月至2010年12月行手術(shù)治療的眼眶腫瘤患者78例(78只眼)進(jìn)行系統(tǒng)回顧分析。78例中良性腫瘤65例:海綿狀血管瘤21例,炎性假瘤5例,神經(jīng)纖維瘤10例,神經(jīng)鞘瘤9例,皮樣囊腫7例,淚腺混合瘤6例,脂肪瘤5例,粘液囊腫1例,腦膜瘤1例。惡性腫瘤13例,淋巴瘤8例,多形性腺癌4例,視網(wǎng)膜母細(xì)胞瘤球外蔓延1例。本組病例中男性45例,女性33例,年齡最大77歲,最小11個月,平均年齡38歲。發(fā)病時間最長30年,最短5天。根據(jù)腫瘤的部位、性質(zhì)不同采取手術(shù)方法不同。其中(1)前入路開眶45例(2)眶外側(cè)壁切開28例(3)內(nèi)外聯(lián)合開眶術(shù)3例(4)眶內(nèi)容物剜除2例。術(shù)后隨訪3至36個月,觀察術(shù)后并發(fā)癥及復(fù)發(fā)情況。 結(jié)果:(1)78例患者中,腫瘤全部切除73例,部分切除5例。(2)復(fù)發(fā)病例8例,淚腺混合瘤2例,神經(jīng)纖維瘤2例,粘液樣囊腫1例,淋巴瘤1例,炎性假瘤1例,腦膜瘤1例。復(fù)發(fā)率為10.25%,(3)術(shù)后出現(xiàn)眼球運(yùn)動障礙8例,視力下降9例,其中2例視力喪失,眶內(nèi)出血10例,上瞼下垂6例,瞳孔改變6例。 結(jié)論:1.手術(shù)切除是治療眼眶腫瘤的有效方法。2.前入路開眶術(shù)適用于大部分血管瘤及位置靠前的部分良性腫瘤。3.外側(cè)開眶術(shù)適用于球后、肌圓錐內(nèi)的腫瘤。4.眼眶腫瘤摘除術(shù)常見的并發(fā)癥為眶內(nèi)出血、視力下降、眼球運(yùn)動障礙。
[Abstract]:Objective: to investigate the clinical effect of different surgical methods on orbital tumors. Methods: from January 2005 to December 2010, 78 patients (78 eyes) with orbital tumor treated surgically in our hospital were analyzed retrospectively. Among them, 65 cases were benign tumor, 21 cases were cavernous hemangioma, 5 cases were inflammatory pseudotumor, 21 cases were cavernous hemangioma, 5 cases were inflammatory pseudotumor. There were 10 cases of neurofibroma, 9 cases of neurilemmoma, 7 cases of dermoid cyst, 6 cases of mixed lacrimal gland tumor, 5 cases of lipoma, 1 case of mucocele and 1 case of meningioma. 13 cases of malignant tumor, 8 cases of lymphoma, 4 cases of pleomorphic adenocarcinoma and 1 case of extrabulbar retinoblastoma spread. There were 45 males and 33 females, aged 77 years and 11 months, with an average age of 38 years. The longest onset time was 30 years and the shortest was 5 days. According to the location of the tumor, the nature of the operation is different. Of them, 1) anterior approach was used to open the orbit in 45 cases (2 cases) lateral wall incision was performed in 28 cases (3 cases) and combined internal and external orbital surgery in 3 cases (4 cases). 2 cases were enucleated from the contents of the orbit. All patients were followed up for 3 to 36 months to observe postoperative complications and recurrence. Results among 78 cases, 73 cases were completely resected, 5 cases were partially resected), 8 cases were recurrence, 2 cases were mixed tumor of lacrimal gland, 2 cases were neurofibroma, 1 case was mucoid cyst, 1 case was lymphoma, 1 case was inflammatory pseudotumor and 1 case was meningioma. The recurrence rate was 10.25%) 8 cases had ocular movement disorder, 9 cases had visual acuity loss, 2 cases had loss of vision, 10 cases had intraorbital hemorrhage, 6 cases had ptosis and 6 cases had pupil changes. Conclusion 1. Surgical resection is an effective method for the treatment of orbital tumors. Anterior orbital approach is suitable for most hemangiomas and partial benign tumors located at the anterior. 3. Lateral orbital surgery is suitable for retrobulbar, intramuscular conical tumors. 4. The common complications of orbital tumor excision are intraorbital hemorrhage, visual acuity loss and ocular movement disorder.
【學(xué)位授予單位】：吉林大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2011
【分類號】：R739.72

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本文編號：1905657