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目的探讨眶内球后肿瘤的外科治疗方法和疗效。方法对2000年至2006年收治的28例眶内球后肿瘤患者采用额下眶顶入路或眶外侧入路手术治疗,并根据病理诊断指导术后治疗。结果28例患者中,肿瘤全切除24例,次全切除3例,部分切除1例。术后视力改善4例(14.3%),无变化22例(78.6%),恶化2例(7.1%)。14例恶性肿瘤术后行放疗和/或化疗。随访6～14个月,肿瘤均无复发。结论手术是治疗眶内球后肿瘤的主要方法。手术虽不能明显改善术后视力,但对维系术前视力有帮助。恶性肿瘤术后还应行放疗和/或化疗。
Objective To investigate the surgical treatment and efficacy of intraorbital retrobulbar tumors. Methods Twenty-eight patients with orbital supio-orbital tumors who underwent surgery from 2000 to 2006 underwent surgery on the frontal orbital approach or lateral orbital approach and were treated according to pathological diagnosis. Results Of the 28 patients, 24 had complete tumor resection, 3 had subtotal resection, and 1 had partial resection. Postoperative visual acuity improved in 4 cases (14.3%), no change in 22 cases (78.6%), worsening in 2 cases (7.1%). Fourteen malignant tumors underwent radiotherapy and / or chemotherapy. Follow-up 6 to 14 months, no recurrence of the tumor. Conclusion Surgery is the main method of treating orbital tumors. Although surgery can not significantly improve postoperative visual acuity, but to maintain preoperative vision help. Malignant tumors should be treated with radiotherapy and / or chemotherapy.