眼眶深部海绵状血管瘤手术治疗的辅助抽吸技术。

IF 2.1 4区 医学 Q2 OPHTHALMOLOGY
Indian Journal of Ophthalmology Pub Date : 2024-11-01 Epub Date: 2024-08-14 DOI:10.4103/IJO.IJO_2589_23
Li-Wei Cheng, Yi-Hsuan Wei, Shu-Lang Liao
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引用次数: 0

摘要

摘要:提出一种针吸技术用于眼眶海绵状血管瘤的手术切除。在这项回顾性病例系列研究中,我们纳入了2013年6月至2022年4月期间接受针吸技术辅助切除手术的13例眼眶海绵状血管瘤患者。我们记录了术前症状、临床检查和影像学特征。评估了手术效果,包括视力、突眼和眼球运动的改善情况。此外,还报告了术后并发症。患者中有 11 名女性和 2 名男性,平均年龄为 50.2 ± 8.0 岁(38-61 岁)。最常见的症状是眼球突出(12 例,占 92%),其次是视力模糊(6 例,占 46%)。术前造影显示,病变直径在 1.8 至 3.2 厘米之间。手术方法包括 11 例患者的眉下眶切开术和 2 例患者的下部经结膜入路术。所有肿瘤均在针吸1-3cc瘤内血液以缩小肿瘤体积后成功切除。所有病例的术前突眼、视力模糊和复视在术后都得到了改善。没有出现严重的并发症或眼眶血管瘤复发。该研究展示了针吸技术在眼眶海绵状血管瘤手术治疗中的有效应用。这种创新方法可以带来显著的疗效,尤其是对那些患有眼眶深部巨大海绵状血管瘤的患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Adjunctive aspiration technique for the surgical management of deep orbital cavernous hemangioma.

To propose a needle aspiration technique for the surgical removal of orbital cavernous hemangioma. In this retrospective case series, we enrolled 13 patients with orbital cavernous hemangioma, who underwent excisional surgery assisted with needle aspiration technique from June 2013 to April 2022. Preoperative symptoms, clinical examination, and imaging features were recorded. Surgical outcomes, including the improvement of visual acuity, proptosis, and ocular motility, were assessed. Postoperative complications were also reported. There were 11 female and two male patients, with a mean age of 50.2 ± 8.0 years (range: 38-61 years). The most common symptom was proptosis (12 cases, 92%), followed by blurred vision (6 cases, 46%). The diameter of the lesions was between 1.8 and 3.2 cm on preoperative imaging. The surgical approaches included sub-brow orbitotomy in 11 patients and the inferior transconjunctival approach in two cases. All the tumors were removed successfully after needle aspiration of 1-3 cc of intralesional blood to reduce the tumor size. Preoperative proptosis, blurred vision, and diplopia improved after the surgery in all cases. There were no serious complications or recurrence of orbital hemangioma. The study presented an effective application of the needle aspiration technique in the surgical management of orbital cavernous hemangioma. Such an innovative method can bring significant benefits, especially for those with large cavernous hemangioma within the deep orbital region.

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来源期刊
CiteScore
3.80
自引率
19.40%
发文量
1963
审稿时长
38 weeks
期刊介绍: Indian Journal of Ophthalmology covers clinical, experimental, basic science research and translational research studies related to medical, ethical and social issues in field of ophthalmology and vision science. Articles with clinical interest and implications will be given preference.
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