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The clinical characteristics and microsurgical management of brain tumors invading orbital region

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Author:
No author available
Journal Title:
CHINESE JOURNAL OF NEUROSURGERY
Issue:
10
DOI:
10.3760/j.issn:1001-2346.2005.10.009
Key Word:
脑肿瘤;眶部肿瘤;诊断;显微神经外科

Abstract: 目的研究侵及眶部的脑肿瘤临床特征与显微外科手术治疗效果.方法对58例本病经临床分析与影像学检查而获诊断,采用不同手术入路及显微外科技术切除肿瘤.全组病例中,肿瘤位于前颅凹50例,中颅窝8例,均侵及眶腔.其中39例(67.2%)有头痛、头晕等颅内压增高表现,54例(93.1%)出现视器症状.结果本组46例肿瘤(79.3%)获手术全切除,12例(20.7%)为次全切除,无死亡.对48例经信访或门诊随访6个月-9年(平均3.6年),39例(81.3%)恢复满意,余9例(18.7%)有不同程度后遗症.结论脑肿瘤侵及眶部多以视器改变为主要临床表现.采取不同手术入路、以显微外科技术切除本类肿瘤,预后良好.

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