颅眶部肿瘤及其手术治疗

Tumors in the cranio-orbital junction and their surgical management

报告14例颅眶部肿瘤,主要表现为突眼、视力损害和眼肌麻痹。13例经手术治疗,9例肿瘤全切,无死亡。11例获得随访。存活的8例平均随访4.6年,均可自理,且多能参加工作。作者讨论了颅眶部肿瘤的分类、临床表现、治疗原则和手术入路,并指出,熟悉有关解剖,采用显微外科技术,在颅眶部肿瘤的手术治疗中是必不可少的。

Fourteen cases of tumors in the cranio-orbital junction (COJ) were reported. The primary manifestations were exophthalmos, visual failure and limitation of extraocular movement. Thirteen patients were operated on without mortality. Nine tumors were removed totally. Eleven patients were followed-up. All of the wight who were followed-up for 4.6 years could take care themselves. Most of them were able to take part in normal works. The classification, clinical manifestations, prinicples of therapy and surgical approach of the tumors in the COJ were discussed. In the paper the writers emphasized particularly the the importance of familiarity with the anatomy of COJ and microsurgical techniques during operation in these tumors.