眶内容摘除术41例临床分析

Orbital exenteration,A clinical analysis of 41 cases

本文对我院1973～1989年作眶内容摘除的41例患者进行回顾性临床分析,发现作眶内容摘除术的原因,成人最多是眼睑泪腺肿瘤,儿童主要是视网膜母细胞瘤。其中9例系肿瘤复发。一期植皮效果好,成功率高。视网膜母细胞瘤如有眼眶组织或视神经残端侵犯,即使作眶内容剜除,再加放疗也难以存活。成人眶内容剜除,辅以放疗,部份患者可以长期存活,不应轻易放弃手术。

41 cases of exenteration performed in the year1973-1989 were follwed up and retrospectivelyanalized. The most frequent indication was tumorsof eyelids and lacrimal gland in adults and retino-blastoma in children; including 9 cases of recurrentneoplasm. Good healing of wound was obtained bymeans of primary autologous skin transplantation.Thesurvival rate after exenteration due to invasion of or-bital tissue or the cut end of optic nerve by retino-blastoma was very poor;but many adult patients hada long survival if exenteration was followed by radio-thearapy, and it seems unreasonable to give up theexenteration as a chance to save the life.