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目的 探讨经额颞眶颧联合入路切除颅眶沟通肿瘤的优越性。方法 经头颅CT或MRI确诊 ,手术采取经额颞眶颧联合入路 ,显微镜下切除肿瘤。结果 肿瘤全切除 2 3例 ,次全切除 7例 ,大部分切除 5例 ,无手术死亡。随访 2～ 8年 ,恢复原工作 2 6例 ,肿瘤复发9例 ,其中恶性肿瘤 6例 ,蝶骨嵴脑膜瘤复发 3例。结论 颅眶沟通肿瘤经额颞眶颧联合入路显微镜下切除是一种安全、有效的方法。
Objective To investigate the superiority of transcranial orbital zygomatic approach in the removal of cranio-orbital tumor. Methods The CT or MRI was diagnosed by cranial CT scan. The total amount of frontotemporal zygomatic zygomatic approach was taken by operation and the tumor was removed under the microscope. Results Total resection of tumor in 23 cases, subtotal resection in 7 cases, the majority of resection in 5 cases, no operative death. During the follow-up of 2 to 8 years, 26 cases of original work and 9 cases of tumor recurrence were recovered, including 6 cases of malignant tumor and 3 cases of recurrent sphenoid ridge meningioma. Conclusion The cranio-orbital tumor by frontotemporal orbital zygomatic approach under the microscope resection is a safe and effective method.