眶颅沟通肿瘤的诊断与治疗  

Diagnosis and management of tumors with orbito- cranial access

作　　者：唐东润[1] 宋国祥[1] 肖利华[1] 郑立高[1] 祖广智 

机构地区：[1]天津医科大学第二医院眼科,天津医科大学第二医院神经外科,天津市环湖医院神经外科

出　　处：《中华眼科杂志》1995年第5期337-340,共4页Chinese Journal of Ophthalmology

摘　　要：为了明确眶颅沟通肿瘤的性质和范围，以确定手术方式，分析６４例眶颅沟通肿瘤的临床资料，主要观察其ＣＴ和磁共振成像（ｍａｇｎｅｔｉｃｒｅｓｏｎａｎｃｅｉｍａｇｉｎｇ，ＭＲＩ）等影像学表现。结果在眼眶、颅腔及其交界部位均能发现病变，并能做出定位和定性诊断。根据病变性质、范围、继发改变及既往手术情况，采取１次或分次手术切除肿瘤方式，５３例共行６４次手术，另外１１例采取其它治疗。手术方式：前路开眶１３次，外侧开眶２１次，经颅入路开眶术３０次。手术结果提示：经颅入路开眶术式复杂，并发症多。术前应严格掌握手术适应证，术中注意与神经外科医生密切配合。To identify the characteristics and extent of orbitocranial tumor for the selection of oper-ative methods, 64 patients with the tumor were studied with clinical materials,primarily CT and mag-netic resonance imaging(MRI)appearances. The lesions were found in the orbit, cranium and orbito-cranium boundary parts and their diagnoses in regard to localization and identification could be made.Based on the preoperative diagnosis of an orbito-cranial tumor,its location,character,secondary changes and operation(s)in the past,a surgical approach was designed.The resection of a tumor could be completed in once or in several times of operation,64 operations were performed on 53 patients and other therapies were given to the other 11 patients,The operative metheds included orbitotomy via ante-rior route,21 times via lateral route and 30 times via transcranial route, The operative results suggest that the transcranial route be complicated and have more complications;preoperatively,the operative in-dication be strictly selected and intraoperatively,ophthalmologists closely cooperate with neurological surgeons.

关 键 词：眶颅沟通 眼眶内肿瘤 眼科外科手术 CT NMR 成像 

分 类 号：R739.72[医药卫生—肿瘤]