经结膜入路冷冻摘除眼眶肌圆锥内海绵状血管瘤

目的:探讨经结膜入路冷冻摘除肌圆锥内海绵状血管瘤的手术方法、手术技巧与手术并发症. 方法: 对术前诊断为眼眶海绵状血管瘤的41例患者,选择符合前路开眶条件的36例行结膜入路肌圆锥内海绵状血管瘤冷冻摘除术.记录术中手术时间,观察术中、术后并发症. 结果: 36例肿瘤均顺利地经膜入路进行完整的冷冻摘除,术后35例确诊为海绵状血管瘤,1例确诊为神经鞘瘤.每例海绵状血管瘤手术历时约20~25 min.术中、术后无永久性并发症. 结论:经结膜入路冷冻摘除肌圆锥内眼眶海绵状血管瘤是一种简便、快捷、安全、有效的微创术式,值得临床推广应用.

Transconjunctival surgical cryoextraction of introconal orbital cavernous hemangiomas

OBJECTIVE: To evaluate the Methods , complication and operative skill in transconjunctival surgical cryoextraction of intraconal orbital cavernous hemangioma. METHODS: Among the 41 patients diagnosed as orbital cavernous hemangioma preoperatively, 36 suitable for the condition were treated with the operation. The operation time was recorded, and the complications were observed during and after the operation. RESULTS: The tumours of the 36 patients were all excised successfully, of which 35 were diagnosed as orbital cavernous hemangioma, and the other 1 as neurilemoma post-operatively. The operation time of each was 20 to approximately 25 min and there was no perpetual complications. CONCLUSION: Transconjunctival surgical cryoextraction of intraconal orbital cavernous hemangioma is simple, swift, safe and effective with tiny injury.