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目的探讨眼眶海绵状血管瘤的临床特点、术前定性诊断与手术入路选择。方法对1986至2000年在中山大学中山眼科中心住院的眼眶海绵状血管瘤患者进行回顾性分析。结果209例中,男86例,女123例;右眼86例,左眼123例;年龄5~68岁,平均39.2岁;以渐进性眼球突出和视力下降为主要临床表现。95%(199/209)根据超声波和CT或MR I可作出术前准确诊断。64%(134/209)采用前路开眶,36%(75/209)采用外侧开眶顺利摘除肿物。结论眼眶海绵状血管瘤术前基本上可作出诊断,约2/3的病例不需外侧开眶即可顺利摘除肿物,术后并发症少。
Objective To investigate the clinical characteristics of orbital cavernous hemangiomas, preoperative qualitative diagnosis and surgical approach choice. Methods A retrospective analysis was performed on patients with orbital cavernous hemangiomas hospitalized at Zhongshan Eye Center of Sun Yat-sen University from 1986 to 2000. Results In 209 cases, there were 86 males and 123 females. There were 86 eyes of right eye and 123 eyes of left eye. The age ranged from 5 to 68 years (average 39.2 years). The progressive clinical manifestations of eyeball protrusion and vision loss were all included. 95% (199/209) Accurate preoperative diagnosis based on ultrasound and CT or MRI. Sixty-four percent (134/209) anterior orbital, 36% (75/209) using lateral orbital removal of the tumor. Conclusion Orbital cavernous hemangiomas can be basically diagnosed before surgery, about 2/3 of the cases without lateral opening can be successfully removed the tumor, postoperative complications less.