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Local resection of choroidal melanoma with vitreoretinal surgery
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF OCULAR FUNDUS DISEASES
- Issue:
- 3
- DOI:
- 10.3760/j.issn:1005-1015.2000.03.019
- Key Word:
- 黑色素瘤;脉络膜肿瘤/外科手术;玻璃体切除术
Abstract： 目的 探讨玻璃体视网膜手术切除脉络膜黑色素瘤的疗效、安全性及其适应证范围.方法 8例脉络膜黑色素瘤,直径5～20 mm,厚4～12 mm.4例合并视网膜脱离.2例经眼内肿瘤切除,6例行板层巩膜脉络膜切除.8例均联合玻璃体视网膜手术,包括玻璃体切割,过氟化碳液体应用,眼内光凝,气体或硅油充填.结果 术后病理检查证实:7例为脉胳膜黑色素瘤,其中5例为梭形细胞型,2例混合细胞型,3例累及睫状体.1例为脉络膜黑色素细胞瘤.经2～24个月(平均9.1个月)随访,未发现肿瘤复发与转移,眼球外形均无明显改变,5例视力在0.1以上.结论 对选择性病例采用玻璃体视网膜手术切除脉络膜黑色素瘤可以保留患眼,挽救视力,而且对切除组织病理检查可明确诊断.
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