眼眶骨瘤的术式分析  

Analysis of individualized operation for osteoma orbitalis

作　　者：高宇 高占国 刘立民 任明玉 

机构地区：[1]河北省眼科医院河北省眼病治疗中心河北省眼科重点实验室,邢台市054001

出　　处：《中国实用眼科杂志》2016年第4期380-384,共5页Chinese Journal of Practical Ophthalmology

摘　　要：目的分析眼眶骨瘤的手术入路方式及切除方法的个体化应用。方法回顾性分析2005年1月至2015年3月在河北省眼科医院经手术治疗的眼眶骨瘤患者共计16例，主要分析该类患者手术入路方式的选择、切除方法及术中注意的问题与对策。结果16例眼眶骨瘤中，右眶10例，左眶6例；男性9例，女性7例；年龄13。67岁，平均43岁。前路开眶经肿瘤基底部眶缘皮肤切口12例，外侧开眶1例，下穹窿及鼻侧结膜切口3例。9例肿瘤完全切除，7例部分或大部分切除。结论眼眶骨瘤的手术入路方式和术中切除方法应个体化综合考虑，以期达到最合理的手术方法和最好的手术效果。Objective To analyze individual application ot the surgical approacn ano resection methods of osteoma orbitalis. Methods Retrospectively analyzed 16 cases of osteoma orbitalis pa- tients whom treated in Hebei Eye Hospital from January 2005 to March 2015, main outcome mea- sures were surgical approach, resection methods and the problems were paid attention to in opera- tion and its strategy. Results Among the 16 cases patients, 10 cases of lesions located in right or- bit, 6 cases in left orbit; 9 cases were male, 7 cases were female, ages ranged from 13 years to 67 years, and mean ages were 43 years. Twelve cases were underwent anterior orbitotomy and the place of skin incision near the basal of tumor, 1 case underwent lateral orbitotomy, 3 cases incised through fronix conjunctiva or nasal conjunctiva. Nine cases of tumor were removed completely while 7 cases removed partially. Conclusions The surgical approach and resection methods should be indi- vidualized during operation so that it can obtain better surgical methods and better outcome.

关 键 词：眼眶骨瘤 手术入路 切除方法 个体化治疗 

分 类 号：R739.72[医药卫生—肿瘤]