摘要
本文报告33例颅眶沟通肿瘤,其中颅前窝一眶内型13例,颅中窝一眶内型16例,颅前窝一眶内一颅中窝型4例。病理诊断:骨瘤10例,脑膜瘤7例,转移癌4例,神经鞘瘤3例,视神经胶质瘤2例,粘液囊肿2例,上皮样及皮样囊肿2例,海绵状血管瘤2例和软骨肉瘤1例。临床表现为单眼突出,疼痛,视力下降,结膜充血、水肿和颅内压增高症状或不明显。讨论了沟通肿瘤的发病率,诊断和手术入路问题。本组经额或额颞开颅,全切除肿瘤26例,大部分切除肿瘤7例。术后随访20例,为期3个月～10年,治愈15例,复发3例,2例(转移癌)术后半年死亡。
This paper reported 33 cases of thecommunicated cranioorbit tumours. Therewere 13 cases of the anteriorfossaorbittypes, 16 cases of the middle fossa-orbittypes and 4 eases of the anteriorfossa-orbit-middle fossa types. Pathological dia-gnosis showed: 10 osteomas, 7 meningio-mas, 4 metastatic tumours, 3 neurinomas,2 optic nerve gliomas, 2 cavernous he-mangiomas, 2 mucoceles, 2 epidermoidand dermoid cyst and 1 chondrosarcoma.The clinical manifestations were monoe-xohthalmus, pain, failing vision, congue-tive and edema, and increased intracran-ial pressure (or not significant). The mor-bidity of the communicated tumours, dia-gnosis and operative approach were dis-cussed. Through frontal or frontal tem-poral craniotomy complete removal ofthe tumour was achieved in 26 cases ofthis series and the subtotal tumour wasremoved in 9 cases. 20 cases have beenfollowed-up for a period from 3 monthsto 10 years postoperatively. 15 casesrecovered completely, 3 cases recurred,and 2 cases of metastatic tumour diedin half an year after operation.
出处
《中国神经精神疾病杂志》
CAS
CSCD
北大核心
1991年第6期343-345,共3页
Chinese Journal of Nervous and Mental Diseases
