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目的分析颅眶沟通肿瘤显微外科治疗的手术方法和治疗效果。方法回顾分析过去5年采用显微手术治疗35例颅眶沟通肿瘤的临床资料。分别采用4种经颅入路、4种经颅开眶入路及3种眶内入路。结果35例肿瘤全切除18例,次全切除13例,大部分切除4例,无手术死亡及严重并发症。结论(1)应根据肿瘤大小、位置和侵袭范围采用不同入路,在充分暴露和直视下广泛切除颅眶沟通肿瘤;(2)熟练的解剖知识及手术技巧、恰当的手术入路、成功的手术切除和及时处理术后并发症等是治疗的关键;(3)颅底缺损应给予修补和重建,硬膜的严密修复是避免脑脊液漏及颅内感染的关键问题。
Objective To analyze the surgical methods and therapeutic effects of microsurgical treatment of cranial orbital tumors. Methods The clinical data of 35 cases of cranio-orbital tumor communicating with microsurgical treatment in the past 5 years were retrospectively analyzed. Four transcranial approaches, four transcranial orbital approaches, and three orbital approaches were used. Results Totally 35 cases of tumors were resected in 18 cases, subtotal resection in 13 cases and resection in 4 cases. No operative death and serious complications were found. Conclusion (1) Different approaches should be taken according to tumor size, location and extent of invasion, and craniopharyngiomas should be completely removed under full exposure and direct vision. (2) Skilled anatomy and surgical skills, appropriate surgical approach, and successful Of the surgical resection and timely treatment of postoperative complications is the key to treatment; (3) skull base defects should be given to repair and reconstruction, dura mater repair is to avoid leakage of cerebrospinal fluid and intracranial infection of the key issues.