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目的探讨复杂性颅-眶肿瘤的诊断与显微外科治疗效果。方法对61例进行颅眶肿瘤病例临床与影像学诊断,采用经眶开颅及经颅切开眶顶的手术入路、以显微外科技术切除肿瘤。结果本组49例肿瘤(80.3%)获手术全切除,12例(19.7%)为次全切除,无死亡。对50例进行随访调查,随访期6~108月(平均43.2月),其中41例(82.0%)恢复满意,余9例(18.0%)有不同程度后遗症。结论复杂性颅-眶肿瘤多以视器改变为主要临床表现。根据肿瘤起源的部位与大小,选择适宜的手术入路和显微外科技术切除本类肿瘤,效果良好。
Objective To investigate the diagnosis and microsurgical treatment of complex craniovertebral tumors. Methods 61 cases of craniovertebral tumor cases of clinical and imaging diagnosis, the use of orbital craniotomy and transcranial orbital roof of the surgical approach to microsurgery resection of the tumor. Results The group of 49 cases of tumors (80.3%) were surgically removed, 12 cases (19.7%) were subtotal resection without death. Fifty patients were followed up from 6 to 108 months (mean 43.2 months), of which 41 (82.0%) recovered satisfactorily and the remaining 9 patients (18.0%) had different degrees of sequelae. Conclusions The complex craniovertebral tumor mostly depends on the change of the visual field as the main clinical manifestation. According to the location and size of the tumor origin, select the appropriate surgical approach and microsurgery resection of this type of tumor, the effect is good.