眶颅沟通瘤的手术治疗

目的:探讨眶颅沟通性肿瘤的手术治疗方法。方法:14例病人中6例采用经额眶入路,8例采用经翼点入路进行手术。结果:肿瘤全切除12例,次全切除1例,大部切除1例。所有病人症状体征均明显改善。病理结果:神经鞘瘤3例,脑膜瘤3例,神经纤维瘤1例,间皮源性肉瘤1例,泪腺混合瘤1例,视神经星形细胞瘤1例,巨细胞肉芽肿1例,转移性鳞状上皮基底细胞癌1例,皮样囊肿1例及炎性假瘤1例。结论:上述两种手术入路可提高眶颅沟通性肿瘤的全切率;具备良好的手术技巧,可获得令人满意的治疗效果。

Operative Treatment for Orbitocranial Tumors

Aim:To discuss the methods of operative treatment for orbitocranial tumors.Methods:In 14 patients,6 cases with orbitocranial tumors were operated by fronto-orbital approach,and 8 cases by pterional approach.Results:12 cases with orbitocranial tumors were totally removed;1 case was subtotally removed and 1 case was partially removed.All patients' symptoms and signs were improved. Pathology results:neurilemoma in 3 cases,meningioma in 3 cases,neurofibroma in 1 case,mesothelial sarcoma in 1 case,mixed tumor of lacrimal gland in 1 case,optic nerve astrocytoma in 1 case,giant cell granuloma in 1 case,squamous basaloma in 1 case,dermoid cyst in 1 case and inflammatory pseudotumor in 1 case.Conclusion:The above two mentioned operative approaches can offer more advantages in surgical treatment for orbitocranial tumors,the good operative skills will obtain the satisfactory effect.