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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。
Objective: To explore the surgical treatment of orbital cranial tumors. Methods: Six of the 14 patients underwent transorbital approach and the other 8 underwent pterional approach. Results: Tumor resection in 12 cases, subtotal resection in 1 case, most of the resection in 1 case. Symptoms and signs of all patients were significantly improved. Pathological findings: Schwannoma in 3 cases, 3 cases of meningioma, 1 case of neurofibroma, 1 case of mesothelioma sarcoma, 1 case of mixed lacrimal gland tumor, 1 case of optic nerve astrocytoma, 1 case of giant cell granuloma, metastasis 1 case of squamous cell carcinoma, 1 case of dermoid cyst and 1 case of inflammatory pseudotumor. Conclusion: The above two kinds of surgical approach can improve the rate of full orbital craniofacial tumors; have good surgical skills and can achieve satisfactory therapeutic effect.