眼眶肿瘤(附80例临床分析)

目的探讨眼眶肿瘤的临床特征和治疗. 方法回顾性分析80例经手术治疗的眼眶肿瘤的临床资料和治疗结果,结合文献资料进行分析.结果视神经起源的眼眶肿瘤视力障碍严重,而海绵状血管瘤、神经纤维瘤等非视神经起源的肿瘤视力障碍相对轻微.原发性视神经鞘脑膜瘤术后视力预后差.15例脑膜瘤获得平均为39.2月的随访,4例复发.结论眼眶肿瘤的治疗方式取决于肿瘤的类型,对于原发性视神经鞘脑膜瘤和视神经胶质瘤,还取决于患眼的视力和肿瘤的生长状况.经颅眶入路能较好地暴露大多数眶内和眶尖肿瘤.

Obital tumors:a report of 80 cases

Objective To investigate the clinical features and management of orbital tumors.Methods The clinical data and outcomes from 80 cases of orbital tumors were retrospectively studied, with the related literature reviewed.Results Visual disturbance was usually profound with tumors originating from optic nerve and relatively slight for those from outside optic nerve axis such as cavernous hemangioma and neurofibroma. Postoperative visual prognosis was poor for primary optic nerve sheath meningioma. Four out of fifteen cases of meningioma recurred during mean 39.2 months' follow-up.Conclusion Management strategies of orbital tumors are determined by their pathological types,visual function status and growth rate. Most orbital tumors can be well exposed via cranio- obital approach.