摘要
目的了解眶内容摘除术的适应证及眶腔修复方法。方法对66例眶内容摘除术患者进行回顾性研究,对全部病例的临床资料、诊断、术式及眶腔修复进行仔细分析。结果行全眶内容摘除术61例,行前部眶内容摘除术3例（均为恶性）,后部眶内容摘除术2例。随访到30例,随访时间2-52个月,平均17.1个月,19例病情恢复良好,肿瘤无复发;11例复发,其中3例死亡。结论眶内容摘除术是治疗眼眶恶性肿瘤和部分良性病变的一种方法,但应严格掌握适应证,根据患者具体情况选择合适的术式及修复方法。
Objective To analyze the indications and orbital reconstruction of exenteration.Methods Sixty-six cases with orbital exenteration were analyzed retrospectively.Clinical records,diagnosis,surgical procedures and orbital reconstruction were reviewed.Results Sixty-one cases were approached with total orbital exenteration,three cases with malignant melanoma were performed with ante-exenteration,two cases were treated with post-exentration.Thirty cases were follwed up for 2-52 months（means 17.1 months）.Nineteen cases were healed and eleven cases were recurrent in which three cases died.Conclusion Exenteration is a procedure which was used for orbital malignant tumors and some certain benign tumor.But indications must be handled strictly.Operations and orbital reconstructions should be performed according to patients＇ conditions.
出处
《眼科新进展》
CAS
2008年第3期224-226,共3页
Recent Advances in Ophthalmology
关键词
眼眶肿瘤
修复
眶内容摘除术
orbital tumors
reconstruction
orbital exenteration
