颅眶沟通瘤B超诊断与临床治疗  

Clinical Research of Operation to Visual Recover for Fungal Corneal Ulcer

作　　者：李桂芝[1] 袁建军[1] 王斌[1] 徐红伟[1] 张连仲[1] 梅海宁[1] 张永福[1] 

机构地区：[1]河南省人民医院B超室

出　　处：《河南医学研究》1998年第2期147-149,共3页Henan Medical Research

基　　金：河南省医学科学院科研基金

摘　　要：目的：探索颅眶沟通瘤的Ｂ超诊断方法，以利于临床的诊断及治疗。方法：直接经上眼睑向眶内、颅内、副鼻窦内探查颅眶沟通瘤的声像图表现，有颞骨破坏者经颞部皮肤向眶内、颅内探查颅眶沟通瘤的声像图表现。结果：按肿瘤的主要部分所在的部位及侵袭范围将４６例颅眶沟通瘤分为５型，即：颅眶型１９例，颅眶鼻型３例，眶颅型７例，颅眶颅内外型１６例，鼻眶颅型１例。手术切除３２例，依肿瘤的分类不同采用不同的手术入路，肿瘤全切除３０例，次全切除２例。结论：Ｂ超诊断颅眶沟通瘤结果可靠，依据Ｂ超诊断按肿瘤的主要部分所在部位及侵袭范围分类，有利于手术方法的选择，提高了肿瘤的全切率。Objective: To research the effects of visual recovery after secondary operation for fungal corneal ulcer.Methods: After failure of antifungal agent treatment, the patients of fungal corneal ulcer were treated with conjunctival flap transplantation and secondary lamellar keratoplasty after 6 months. Results: In the 15 grafts,14 were transparent and 1 was semitransparent. Visual acuity was 0.2～0.7 in 11 cases.Conclusion: To treatment fungal corneal ulcer,the operation by installments is safety,which has little postoperative complication and was easy to popularization.

关 键 词：B超 诊断 颅眶沟通瘤 超声波诊断 治疗 

分 类 号：R730.41[医药卫生—肿瘤] R739.720.4[医药卫生—临床医学]