眼表、屈光不正及小儿斜弱视的诊断及治疗不同手术入路治疗眼眶肿瘤的疗效观察

Diagnosis and Treatment of Ocular Surface,Refractive Error and Strabismus and Amblyopia of Children and Effect Observation of Different Surgical Approaches for Orbital Tumor

目的探析不同手术入路治疗眼眶肿瘤的临床效果。方法选取本院于2016年1月至2019年1月收治的100例眼眶肿瘤患者为研究对象,所有患者行前路开眶手术治疗,根据患者实际情况选择入路方式包括:经结膜入路前路开眶术、内外侧联合开眶术及外侧开眶术。对比分析不同手术入路治疗后视力变化情况、眼球突出度变化情况;结果三种不同手术入路治疗方法治疗后视力下降、意外致视力丧失、无明显变化及视力下降情况,差异无统计学意义(P>0.05)。三种不同手术入路治疗方式术入路治疗后眼球突出度变化情况,差异无统计学意义(P>0.05)。结论应当根据眼眶肿瘤情况选择对应的手术入路,同时需结合患者自身意愿而定。因眼眶肿瘤发病率相对较低,本研究研究样本数量有限,肿瘤位置对不同手术入路的治疗效果无法做出详细论证,后续增加样本量且排除相关干扰因素可实现更具实质性参考价值的研究。

Objective To explore clinical effect of different surgical approaches in treating orbital tumors.Methods Choose 100 cases orbital tumors patients admitted to our hospital from January 2016 to January 2019 as research objects.All patients were treated with anterior orbital open surgery.Selected approaches according to actual situation of patients include:before transconjunctival approach orbital open surgery,medial and lateral combined orbital opening and lateral orbital opening.Compare and analyze changes in visual acuity and eye protrusion after different surgical approaches.Results After three different surgical approaches,difference of visual acuity decrease,accidental loss of vision,no significant changes,and visual acuity decrease was not statistically significant(P>0.05).Differences in changes of eye protrusion after three different surgical approaches in surgical approach showed no statistical significance,(P>0.05).Conclusion Corresponding surgical approach should be selected according to situation of orbital tumor and wishes of patients.Due to relatively low incidence of orbital tumors,samples numbers in the study were limited,it was difficult to demonstrate treatment effect of tumor locations on different surgical approaches in detail.Subsequent increase of sample size and elimination of related interference factors can achieve more substantial reference value for study.