眼眶骨瘤的手术技巧和疗效分析  

Analysis of the results of surgical management of orbital osteoma

作　　者：肖利华[1] 杨新吉[1] 王毅[1] 鲁小中[1] 魏红[1] 黑砚[1] 

机构地区：[1]武警总医院眼眶病研究所,北京100039

出　　处：《中华眼科杂志》2008年第5期427-430,共4页Chinese Journal of Ophthalmology

摘　　要：目的 探讨眼眶骨瘤的手术技巧和疗效。方法 系列病例研究。回顾性分析19例眼眶骨瘤患者的临床资料，患者的诊断均经手术和病理检查结果证实。结果 骨瘤位于眶内侧10例，眶顶4例，眶外侧5例。手术入路为前路开眶8例，外侧开眶7例，内侧开眶2例，鼻侧切开2例。完全切除病变12例，大部分切除7例。结论 眼眶骨瘤临床诊断容易，但手术治疗困难，选择合适的手术入路、娴熟的手术技巧，可避免术中和术后合并症的出现。Objective To analyze the results and skill of surgical management of orbital osteoma retrospectively. Methods It was a retrospective case series. Nineteen cases of orbital esteoma （the diagnosis was confirmed by surgical and pathological studies） were analyzed retrospectively in the present study. Results The location of orbital osteoma was as following： 10 cases in medial wall of the orbit,4 cases in orbital roof and 5 cases in lateral wall of the orbit. Surgical approaches included anterior orbitotomy （8 cases） ,lateral orbitotomy （7 cases） ,and medial orbitotomy （2 cases）. Complete resection was performed in 12 cases,while partial resection was done in 7 cases. Conclusions Orbital osteoma is easy to diagnosis but difficult in surgical treatment. Appropriate surgical approach and skilled surgical technique are able to reduce the surgical complications.

关 键 词：眶肿瘤 骨瘤 眼外科手术 治疗结果 

分 类 号：R686[医药卫生—骨科学]