颅眶沟通性肿瘤显微手术探讨

Microsurgical treatment of cranio-orbital tumors

目的探讨颅眶沟通性肿瘤的性质、生长方式、手术时机和手术方法。方法总结我院2001年1月至2007年12月采用显微外科治疗80例颅眶沟通性肿瘤的临床资料，对肿瘤生长的2种方式、3个通道和4种手术入路及手术方法进行较详细的论述。结果临床治疗80例肿瘤，全切68例，次全切10例，部分切除2例，肿瘤全切率为85％。结论颅眶沟通性肿瘤手术切除应为首选治疗方案，恶性肿瘤术后结合放疗、化疗等综合治疗可减少复发。

Objective To study the characters and growth patterns of cranio-orbital tumors, and to discuss the operation timing and surgical methods for this kind of patients. Methods We performed a retrospective review of the clinical materials of 80 patients who underwent microsurgical operations for cranioorbital tumors in our department between Jan 2001 and Dec 2007. Then we summarized and described the two growth patterns, three extending pathways of tumors and four microsurgical approaches for the resection of tumors. Results In this series, total tumor resection was achieved in 68 of 80 cases, subtotal resection was performed in 10 cases, and 2 cases obtained part resection. The rate of total resection was 85%. Conclusion Microsurgical resection should be the preferred treatment for cranio-orbital tumors. Postoperative treatment such as radiotherapy and chemotherapy could reduce the recurrence rate for malignant cranio-orbital tumors.