摘要
目的通过对101例原发性眼眶肿瘤手术后并发症的分析,探讨手术后并发症的发生规律,明确影响因素。方法回顾性分析5年内开眶手术治疗的101例眼眶肿瘤。结果术后近期(<6月)40例(39．60％) 发生了不同的并发症(63人次)。并发症依次为:眼球运动障碍(19．05％),视力损伤(17．46％),皮肤麻木感(17． 46％),球后出血(11．11％),瞳孔散大(11．11％),上睑下垂(7．94％)。术后远期(>6月)17例(16．83％)仍然遗留有并发症(28人次),其中4例肿瘤术后复发。结论手术并发症的发生与多种因素有关,术中操作技巧为主要因素,还与肿瘤的部位、性质、肿瘤累及的范围以及开眶手术方式有关。术后复发病例主要为脑膜瘤及泪腺肿瘤。
Objective The surgery complications in 101 primary orbital tumor cases were analyzed,in order to study the regularity and effect of surgery complications. Methods Retrospective analysis 101 cases of different primary orbital tumors with different orbital surgical procedures in five years. Results Sixty-threes of various complications occurred within 40 cases. Most complications were oculomotor apraxia（ 19.05% ）, and then were visual deterioration （ 17. 46% ）, numb of skin（ 17.46% ） ,retrobulbar hemorrhage（ 11.11% ）, mydriasis（ 11.11% ）, ptosis （7.94%）. There were 4 patients recurrence after operation. Conclusion The manner of the opration was in related with the nature, position, adhesion condition and the affected area of the orbital tumors. The proper estimate for the dignosis, position and adhesion of tumors and operation skill was able to decrease the recurrence rate and improve the successful rate of orbital surgery. The meningioma and lacrimal gland tumor had high recurrent rates.
出处
《临床眼科杂志》
2006年第1期28-30,共3页
Journal of Clinical Ophthalmology
关键词
眼眶肿瘤
手术
并发症
Orbital tumors
Surgery
Complication
