62例眼眶海绵状血管瘤的诊断及治疗

Diagnosis and treatment of 62 cases of orbital cavernous hemangioma

目的探讨眼眶海绵状血管瘤的临床特点、影像学诊断及治疗。方法回顾性分析我科2001年5月~2008年11月治疗62例眼眶海绵状血管瘤患者的临床及影像学资料。结果62例中,男21例,女41例,年龄19~69岁,平均38.6岁。单眶1个肿瘤60例,单眶2个肿瘤2例。术前行B超检查58例,CT检查35例,磁共振检查42例。61例手术治疗,其中前路开眶42例,外侧开眶19例。1例观察。术后病理诊断与影像学诊断符合率95.1%（58/61）。结论眼眶海绵状血管瘤术前根据临床及影像学检查基本可定性及定位诊断,大部分病例可通过前路开眶摘除肿瘤。

Objective To explore the clinical features,imaging diagnosis and treatment of orbital cavernous hemangioma.Methods A retrospective review of 62 patients with orbital cavernous hemangioma who were seen in Department of Ophthalmolgy,The 81 Hospital of PLA from May,2003 to November,2008.Results Among 62 patients,21 cases were males and 41 were females.The right orbit was affected in 36 patients and the left orbit in 26 patients.The mean age was 38.6 years,ranging from 19 to 69 years.Ninety-five percent（58/61） of them could be accurately diagnosed preoperatively by image examination.The tumors were removed successfully by the surgical procedure of anterior orbitotomy in 42 cases and lateral orbitotomy in 19 cases.Conclusion Nearly all patients with orbital cavernous hemangioma could be exactly diagnosed by preoperative image examination.The surgical procedure of anterior orbitotomy could be successfully used in a majority of cases.