| 对比经结膜入路开眶术和内外联合开眶术摘除视神经内侧眼眶海绵状血管瘤的临床效果 |
| |
| 作者姓名： | 杨亚斌 柯红琴 段聪 张利伟 |
| |
| 作者单位： | 云南大学附属医院/云南省第二人民医院眼科/云南省眼科医院/云南省眼部疾病临床医学研究中心，云南 昆明 650021 |
| |
| 基金项目： | 国家自然科学基金资助项目（81860171）；云南省卫生健康委员会医学后备人才培养计划基金资助项目（H-2018020） |
| |
| 摘 要： | 目的 评估经结膜入路前路开眶术,内外侧联合开眶术,2种不同入路手术摘除肌锥内视神经内侧眼眶海绵状血管瘤的临床效果.方法 回顾性分析云南省第二人民医院2009年09月至2019年09月收治的68例眼眶海绵状血管瘤,根据术式分为A、B2组.A组为结膜入路前路开眶术共33例,B组为内外侧联合开眶术共35例,评估2组患者在平均...
|
| 关 键 词： | 眼眶海绵状血管瘤 经结膜入路前路开眶术 内外侧联合开眶术 |
| 收稿时间： | 2022-01-01 |
Comparison of the Clinical Outcome of Orbitotomy for Orbital Cavernous Hemangiomas Removal Through Transconjunctival Orbitotomy and Lateral-Medial Orbitotomy |
| |
| Affiliation: | Dept. of Ophthalmology，The Affiliated Hospital of Yunnan University/The 2nd People’s Hospital of Yunnan Province/Yunnan Ophthalmology Hospital/ Key Laboratory of Yunnan Province for The Prevention and Treatment of Ophthalmology，Yunnan Eye Institute，Kunming Yunnan 650021，China |
| |
| Abstract: | Objectve To evaluate the clinical outcomes of orbitotomy for orbital cavernous hemangiomas through transconjunctival orbitotomy and lateral-medial orbitotomy. Methods A retrospective analysis was performed on 68 cases of orbital cavernous hemangioma admitted to the Second People’s Hospital of Yunnan Province from September 2009 to September 2019. All cases were divided into two groups, patients underwent transconjunctival orbitotomy were assigned in group A （33 cases）and patients underwent lateral-medial orbitotomy were assigned in group B （35 cases）. Average hospital stay, operating time, operation space, bleeding volume, complete tumor removal rate, and postoperative complications were evaluated（P > 0.05）. Results The average hospital stay was （5.03 ± 1.63）d in group A and （8.34 ± 2.13）d in group B, and the difference was statistically significant （t = -4.926, P = 0.000）. The mean operation time was （55.62 ± 5.43）min in group A and （109.21 ± 13.72）min in group B, and the difference was statistically significant （t = -16.428, P = 0.000）. The operation space was measured by water injection method, which was expressed by the volume of water injection. The average value of group A was （5.22 ± 0.21）mL, and that of group B was （16.501 ± 1.22）mL, with statistical significance （t = -48.362, P = 0.000）. Blood loss was （17.22 ± 1.65）mL in group A and （59.29 ± 6.42）mL in group B, and the difference was statistically significant （t = -28.098, P = 0.000）. The complete tumor removal rate was 90.9% （30/33） in group A and 97.14% （34/35）in group B. Postoperative visual acuity: 93.9% （31/33） of patients in group A had improved or unchanged postoperative visual acuity, and 6.06% （2/33） had decreased postoperative visual acuity. In group B, 85.71% （30/35） had improved or unchanged visual acuity, and 14.3% （5/35） had decreased or lost visual acuity. Conclusion Both transconjunctival orbitotomy and lateral-medial orbitotoy have advantages and disadvantages. The key of removing orbital cavernous hemangiomas completely is to select the right operation method. Preoperative imaging data should be used to accurately determine the location and size of the tumor. |
| |
| Keywords: | |
|
| 点击此处可从《》浏览原始摘要信息 |
|
点击此处可从《》下载全文 |
|
