高度重视眶尖部小肿瘤的正确诊断与合理治疗  

High attention on the appropriate diagnosis and treatment of small orbital apical tumors

作　　者：周广明 吴文灿 ZHOU Guangming;WU Wencan(Department of Orbital and Oculoplastic Surgery,The Eye Hospital of Wenzhou Medical University,Wenzhou Zhejiang 325027,China)

机构地区：[1]温州医科大学附属眼视光医院眼眶眼整形微创临床中心,浙江温州325027

出　　处：《眼科学报》2022年第11期843-848,共6页Eye Science

摘　　要：眶尖部肿瘤为眼科罕见疾病,但因其所处位置特殊,对机体,特别是视神经功能危害极大,错误的诊断、不规范合理的治疗不仅不能解决问题,甚至会对机体造成严重的不可挽回的损害。目前针对眶尖部肿瘤的诊断、治疗多建立在医生的主观认知与经验的基础上,尚未达成共识。本文通过分析眶尖部肿瘤的临床特点,结合以往漏诊、误诊、误治的临床案例,阐述眶尖肿瘤正确诊断的关键要点;同时,结合不同临床案例,客观分析治疗方案,尤其是手术方式、路径,为眶尖部肿瘤的合理化治疗提供依据,以期规范眶尖部肿瘤的诊断和治疗,提高治疗成功率。Although orbital apical tumor is a rare ophthalmic disease,its special location can cause great harm to the body,especially to the function of the optic nerve.Misdiagnosis and improper treatment are not only unable to solve the problem,but also irretrievably harmful to the body.At present,there is no consensus on the diagnosis and treatment of orbital apical tumors,which are mostly based on subjective cognition and experience of doctors.In this paper,the clinical characters of orbital apical tumors were analyzed through the past clinical cases of misdiagnosis and mistreatment,and the key points of proper diagnosis of orbital apical tumors were expounded.Meanwhile,by combining with different clinical cases,the treatment plans,especially the surgical approaches,were analysed to provide a basis for the appropriate treatment of orbital apical tumors,in order to standardize the diagnosis and treatment of orbital apex tumor,and improve the success rate of treatment.

关 键 词：眶尖肿瘤 诊断 影像学检查 手术治疗 内窥镜 

分 类 号：R739.7[医药卫生—肿瘤]