前路开眶治疗眼眶肿瘤的效果观察

目的 探讨前路开眶治疗眼眶肿瘤的临床疗效.方法 收集接受眶内肿瘤治疗的97例眼眶肿瘤患者的临床资料,分析前路开眶肿瘤切除的治疗效果、术后并发症及患者预后情况.结果 95例眼眶肿瘤患者均完整摘除肿瘤;2例眼眶肿瘤患者的肿瘤与周围组织粘连紧密,为保存视力而行大部分切除术.术中肿瘤位置及粘连情况与影像学检查结果基本一致.术后...

Clinical efficacy of anterior open-orbital treatment in orbital tumors

Objective To explore the clinical efficacy of anterior open-orbital treatment in orbital tumors.Method The clinical data of 97 patients undergoing intraorbital tumor treatment were collected to analyze the efficacy,postoperative complications and prognosis of anterior open-orbital tumor resection.Result 95 patients of orbital tumors received complete resection of tumors,and 2 patients received resection of most tumors to preserve vision due to the tight adhesion of tumors to surrounding tissues.Intraoperative tumor location and adhesion were basically consistent with imaging examination.Postoperative visual acuity improved in 28 cases,remained unchanged in 53 cases,and decreased in 16 cases with no tumor recurrence cases after 3-15 months postoperative follow up.There were no serious complications of vision loss,eye fixation and infection.79 patients had different degrees of postoperative eyelid swelling and congestion which resolved 5-7 days after operation,and 17 patients had postoperative eye movement dysfunction and temporary diplopia,which recovered for eye movement and diplopia within 1 month after eye movement guidance.After 6 months,there was still 1 case of limited eye movement and 1 case of dilated pupil.Conclusion Anterior open-orbital treatment can effectively improve the vision and eyeball protrusion of patients with orbital tumors with fewer postoperative complications,which is an effective way to treat orbital tumors,but it is necessary to select the appropriate indication according to clinical and imaging examinations.