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患者男,61岁,1986—04—19入院。主诉左眼部胀痛、眼球突出4个月。眼部检查:左眼视力0.2,睑裂扩大,闭合不全,眼球向前下方突出;测量为23mm(Hertel),运动障碍,左眼外上方眶缘可触到肿物约2.5cm,质软,表面尚光滑,无触痛。肿物与眶骨膜无粘连,眼球各部及眼底均正常,右眼正常。X线检查:左眼眶骨质无破坏,软组织密度明显增加。右眼眶无特殊。B型超声检查:左眼球外上方近泪腺窝可见3.2×2.5(cm)大小团块影为无回声区,其内可见较密光点回声,分布不均匀,周边不光滑,印象为左眶内肿瘤。于1986—05—07,在局麻下行左眶内肿瘤摘除术。取左眶上缘弧形切口,逐
The male patient was 61 years old and was admitted to the hospital from 1986 to 04-19. He complained of pain in his left eye and his exophthalmos for 4 months. Eye examination: left eye visual acuity 0.2, cleft palate enlargement, incomplete closure, the eyeball protruding downwards and forwards; measuring 23mm (Hertel), movement disorders, left upper eyelid margin can be touched about 2.5cm, soft, The surface is still smooth and tender. There was no adhesion between the tumor and the sacral periosteum. The eyes and fundus were normal, and the right eye was normal. X-ray examination: There was no destruction of the left tibial bone mass, and the soft tissue density increased significantly. There is no special right eye. B-mode ultrasonography: A 3.2-by-2.5 (cm) mass lump near the outside of the left eye shows an echo-free zone. Echoes of dense light spots are seen within the left eye. The distribution is uneven, and the surrounding area is not smooth. The impression is left in the eye. Tumors. In 1986-05-07, left heel tumor removal was performed under local anesthesia. Take the left edge of the upper edge of the arc-shaped incision,