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为了明确眼部肿瘤的性质和范围,以确定手术方式,分析65例眼部肿瘤的临床资料,主要观察其眼部情况,B超和CT等影像学表现。结果发现,不同性质的肿瘤有不同的眼部表现,影像学检查在眼眶和眶周均能发现病变,并能做出定位和定性诊断。根据病变性质,范围及既往手术情况采取手术切除肿瘤方式和其它手术方式。59例行手术治疗,另外6例采取其它治疗。手术方式:局部肿瘤切除13例,外侧开眶12例,经颅入路开眶2例,眶内容切除5例,眼球摘除27例。手术结果提示:经颅开眶并发症多,应严格掌握适应症。良性肿瘤采取手术切除肿瘤方式是缓解眼部症状的唯一方法,恶性肿瘤采用综合治疗效果比较满意。
In order to clarify the nature and scope of ocular tumors, to determine the surgical approach, the clinical data of 65 cases of ocular tumors were analyzed and the imaging findings such as ocular condition, B-mode ultrasound and CT were observed. The results showed that different types of tumors have different ocular manifestations, imaging examination in the orbit and periorbital lesions can be found, and can make positioning and qualitative diagnosis. According to the nature of the lesion, the scope and history of surgery to take surgical removal of the tumor and other surgical methods. 59 cases underwent surgery, the other 6 cases to take other treatment. Surgical methods: partial tumor resection in 13 cases, lateral orbital in 12 cases, transcranial approach in 2 cases, removal of orbital contents in 5 cases, enucleation in 27 cases. Surgical results suggest that transcranial orbital complications and should be strictly controlled indications. Surgical removal of benign tumors is the only way to alleviate the symptoms of the eye, the treatment of malignant tumors with more satisfactory results.