论文部分内容阅读
目的探讨颅眶沟通性病变经眉弓入路的手术方法及疗效。方法回顾性分析我院2005年3月至2007年6月收治的21例颅眶沟通性病变患者的临床资料。对所有患者均经眉弓入路进行手术切除病变治疗,根据术前眼眶CT、MRI检查采取合适的手术切口及骨瓣。结果本组21例中肿瘤全切除14例,近全切除6例,大部切除1例。术后一过性脑脊液鼻漏3例;上睑下垂8例,均于术后2～3个月恢复;额部皮肤麻木9例,其中眶上神经切断6例未能恢复。术后18例患者随访1～24个月,平均13个月。1例泪腺腺样囊性癌患者术后1.5年复发。结论合适的经眉弓入路能够充分显露颅眶沟通性病变,手术安全,并发症少,符合微创原则;部分患者眶上神经损伤为其缺点。
Objective To investigate the surgical method and curative effect of transcortical orbital approach of cranio-orbital diseases. Methods A retrospective analysis of our hospital from March 2005 to June 2007 admitted 21 cases of cranial orbital communicating disease in patients with clinical data. All patients were treated by eyebrows approach surgical removal of lesions, according to preoperative orbital CT, MRI to take appropriate surgical incision and bone flap. Results The group of 21 cases of tumor resection in 14 cases, nearly total resection in 6 cases, most of the resection in 1 case. Postoperative transient cerebrospinal fluid rhinorrhea in 3 cases; blepharoptosis in 8 cases, were recovered 2 to 3 months after surgery; forehead skin numbness in 9 cases, including supraorbital nerve resection in 6 cases failed to recover. Eighteen patients were followed up for 1 ~ 24 months, an average of 13 months. A case of lacrimal adenoid cystic carcinoma recurrence 1.5 years after surgery. Conclusions The appropriate transbringer approach can fully reveal cranial orbital communicable diseases. The operation is safe and the complication is less, which accords with the minimally invasive principle. Some patients suffer from the injury of the supraorbital nerve.