摘要
目的 :主要介绍额眶外侧入路切除颅眶区肿瘤手术适应症及优缺点。方法 :在 2 2例颅眶区肿瘤中 ,9例采用了额眶外侧入路。男 5例 ,女 4例。年龄 14～ 44岁。肿瘤最大 5cm× 4cm× 4cm ,最小 2cm× 2cm× 2cm。介绍额眶外侧入路切除肿瘤的方法和经验。结果 :9例经额眶外侧切除颅眶肿瘤中 ,眶内球后肿瘤 4例 ,蝶骨嵴脑膜瘤、眶内沟通瘤 2例 ,涉及中颅窝及颅眶鼻窦沟通瘤 3例。 6例全切除 ,大部切除 3例。术后症状改善明显 ,没有严重手术并发症。结论 :额眶外侧入路是治疗颅眶区肿瘤比较好的入路 ,因入路低、广显露 ,适合切除眶内肿瘤又兼顾中、前颅窝肿瘤切除 。
Objective:The goal of this study is to introduce the operative indication for cranio-orbital tumor via the fronto-orbital lateral approach.The risk and benefits are also analyzed in the present study.Methods:Nine (male 5 and female 4) of 22 cases with cranio-orbital tumor were operated with this approach.Patient′s age ranged from 14 to 44 years (means 29 years). The size of tumors was from 2cm to 5cm in their diameter.The microsurgical operative method and experience of removing cranio-orbital tumor with the fronto-orbital approach were introduced.Results:Nine cases with cranio-orbital tumor,including 4 cases with intraorbital tumors,2 cases with sphenoidal wing meningiomas communicating with orbital cavity and 3 tumors involving the middle cranial fossa and/or nasal sinus,were operated and their tumors were removed with fronto-orbital lateral approach,in which total resection in 6 cases and subtotal removal in 3 cases were achieved,without serious surgical complication.The clinical symptoms improved promptly after operation.Conclusion:This approcach is very appropriate for the tumor located in orbital cavity and anterior-middle fossa,especially for the tunor involving the cranio-orbital region.With this approach,resection can be performed safely and accurately under direct vision.
出处
《宁夏医学院学报》
2000年第6期397-398,共2页
Journal of Ningxia Medical College
关键词
颅眶肿瘤
额眶外侧入路
手术入路
cranio-orbital tumor
fronto-orbital lateral approach
