眼的原发性恶性瘤的管理
Hsouna Zgolli1, Racem Choura2, Hamad K H Elzarrug3
1Department A, Hedi Rais Institute of Ophthalmology, Faculty of Medicine, Tunis El Manar University, Tunis, Tunisia.
The Libyan journal of medicine
|September 21, 2023
概括
初级恶性眼瘤的手术治疗包括瘤切除和重建. 高质量的手术对于成功的瘤治疗结果和保持眼功能至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 手术瘤学手术瘤学
- 重建性手术是一种重建性手术.
背景情况:
- 眼的原发性恶性瘤很少见,但需要专门的手术治疗.
- 眼重建面临着独特的挑战,因为眼的细致解剖学和功能重要性.
研究的目的:
- 报告对初级恶性眼瘤的手术管理经验.
- 评估外科手术技术,功能和解剖学的结果.
- 分析瘤学结果和复发率.
主要方法:
- 在2012年1月至2021年12月期间治疗的123名患有恶性眼瘤的患者的回顾性评估.
- 对手术技术的分析,包括特定边缘的瘤切除和各种重建方法 (前层叶片,后层叶片,canthus).
- 评估瘤切除的完整性和瘤复发率.
主要成果:
- 114个瘤病变进行了手术治疗,97.4%接受了简单的瘤切除.
- 在大多数情况下,都能达到足够的安全边缘 (4mm或5-6mm).
- 重建涉及前叶片 (80.7%),后叶片 (57.9%) 和口腔结构.
- 在74.6%的病例中,瘤切除成功,平均36个月后瘤复发率为6.1%.
结论:
- 恶性眼瘤的成功手术治疗依赖于细致的瘤切除和适当的重建.
- 对于复杂的眼缺陷,有各种各样的重建技术可用.
- 手术干预的质量直接影响瘤预后.
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