经结膜入路眼眶海绵状血管瘤切除术的研究（英文）.pdf

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1、IntEyeSci，Vo1．15，No．7，Ju1．2015http：／／ies．ijo．caTel：029~224517282210956Email：IJO．2000@163．com——·Originalarticle·Transconjunctivalapproachfororbitalcavernoushemangiomas：areportof74casesJiaii．MingCheng．Qi—JunZheng。Hong—FengYuanDepartmentofOphthalmology，

2、DapingHospitalandResearchAbstractInstituteofSurgery，theThirdMilitaryMedicalUniversity，·AIM：TOremoveorbitaIcavernoushemangiomabyChongqing400010，Chinatransconjunctivalapproach，andtoexamineeficacyandCorrespondenceto：Hong—FengYuan．DepartmentofcomPlicatio

3、nsofthisapproach．·METHODS：Weretrospectivelyanalysed74patientswithOphthalmology，DapingHospitalandResearchInstituteoforbitaIcavernoushaemangiomasbetweenJanuary2007Surgery．theThirdMilitaryMedicalUniversity，ChongqingandDecember2013．Cavernoushemangiomawas

4、400010．China．yhf871@sina．cndiagnosedpreoperativelybycomputedtomography(CT)Received：2015—01—12Accepted：2015—04—24ormagneticresonanceimaging(MRI)combinedwithcolorDoppler．Patientswereunderwentconjunctival经结膜入路眼眶海绵状血管瘤切除术的研究approach，tumorslocatedintheinf

5、erior，inferiorlateral，李佳，程茗，郑奇君，袁洪峰orinferomedialsectorusinginferiorfornixconjunctival(作者单位：400010中国重庆市第三军医大学第三附属医院incision．tumorsIocatedinsuper—lateralsectorusingthe眼科)IateralconiunctivaIincision，tumorslocatedinthe作者简介：李佳，毕业于重庆医科大学，硕士，主治医师，研究方superi

6、orandinferomedialsectorusingthesuper—nasal向：眼眶病及眼整形。fornixconjunctivalincision．Followingexposure，the通讯作者：袁洪峰，毕业于第三军医大学，博士，副教授，副主任tumorwasclampedandslowlyDulledout．CarefuI医师，研究方向：眼眶病、眼整形及眼外伤．yhtB71@sina．cndissectionisnecessaryincasewheretightadhesions

7、arepresent。摘要·RESULTS：Thetumorswereconfirmedtobecavernous目的：探讨经结膜入路眼眶海绵状血管瘤切除术的手术方hemangiomas，consistentwithpreoperativediagnosisin式和注意事项，并观察其疗效及并发症。100％．IntraconaIIocationwasfoundin58(78％)，16(22％)caseswereinextraconal，including12(16％)方法：采用回顾性方法分析200

8、7-01／2013—11的74例眼casesIocatedinsuperlateralsector．16(22％)cases眶海绵状血管瘤患者。术前经CT或MRI联合彩色多普locatedinsuperiormediaIorsuperiorsector．interior，勒检查确诊。手术全部采用结膜入路，鼻下、颞下及正下inferiorlateraI．orinferiorlocationsoccurredin46(62％)方肿瘤采用下穹窿结膜切口，颞上象限的肿瘤采用颞侧结cases．Thetum