眶颅沟通性肿瘤的手术治疗  

Operative treatment fororbitocranial tumors

作　　者：王光辉[1] 张虹[1] 吴宇平[1] 吕扬成[1] 刘劲松[1] 马杰科[1] 朱江[1] 李成[1] 

机构地区：[1]四川省肿瘤医院颅底颅脑外科,四川成都610041

出　　处：《四川医学》2013年第1期35-37,共3页Sichuan Medical Journal

摘　　要：目的探讨眶颅沟通性肿瘤临床治疗方法。方法 18例眶颅沟通瘤均经手术和病理证实,视神经胶质瘤7例,泪腺腺样囊性癌4例,蝶骨嵴脑膜瘤3例,海绵状血管瘤2例,泪腺腺瘤1例,神经鞘瘤1例,10例经额眶联合径路手术,5例经翼点入路手术,3例行额颞眶颧入路手术。7例恶性肿瘤患者接受术前术后放疗,术前剂量45 Gy,术后剂量为50～69Gy,5例进行4～6个周期的化疗,术前化疗2例,2周期,术后化疗3例,2～4周期。结果全部患者均顺利完成手术,无严重并发症发生及手术死亡患者,肿瘤全切14例,次全切除3例,部分切除1例;有4例创口局部感染,清创缝合1～2次后创口延迟愈合。未行眶内容物剜除术者,视力有不同程度的改善。7例良性肿瘤术后随访至今仍存活。11例恶性肿瘤,2例术后1年死于肿瘤转移,1例术后3年失访,其余8例随访至今仍存活。结论经翼点、额眶、额颞眶颧入路3种径路是处理眶颅沟通性肿瘤理想手术方法。Objective To discuss the methods of operative treatment for orbitocranial tumor. Methods In 18 patients, 10 cases with orbitocranial tumors were operated by fronto-orbital approach, 8 eases by ptefional approach, and 3 cases by fronto-orbi- to-zygomatico-temporal approach. Results 14 cases with orbitocranial tumors were totally removed; 3case was subtotaUy removed and 1 case was partially removed. All patients＇ symptoms and signs were improved. Conclusion Tile three mentioned operative approaches can offer more advantages in surgical treatment for orbitocranial tumors, the operative skills will obtain the satisfactory effect.

关 键 词：眶颅沟通性肿瘤 手术治疗 

分 类 号：R739.7[医药卫生—肿瘤]