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眼眶肿瘤手术并发症及其影响因素

The Complications and Affect Factors in the Surgery of Orbital Tumor

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【作者】 许雪亮王成业刘双珍向前

【Author】 Xueliang Xu, Chengye Wang, Shuangzhen Liu, Qian XiangDepartment of Ophthalmology, Xiangya Hospital of Central South University, Changsha 410008, China.

【机构】 中南大学湘雅医院眼科中南大学湘雅医院眼科 长沙 410008长沙 410008长沙 410008

【摘要】 目的:通过对215例眼眶肿瘤手术并发症分析,探讨手术并发症的发生规律,明确主要的影响因素。方法:根据已经获得的临床资料,分析与眼眶手术并发症密切相关的因素,然后进行统计学处理。结果:45例发生了54种不同类型的并发症(25.12%)。并发症发生最多的是术后眼球运动障碍(31.48%),然后依次为上睑下垂(22.22%)、球后出血(18.51%)、视力障碍(12.96%)、瞳孔散大(12.96%)、硬脑膜损伤(1.85%)。结论:眼眶肿瘤手术并发症的发生主要与肿瘤发生的部位(P=0.027)、肿瘤的性质(P=0.045)、肿瘤累及范围、肿瘤边界是否清晰有关(P<0.005),也与手术入路的选择有密切联系(P<0.005)。

【Abstract】 Purpose : The surgery complications in 215 orbital tumor cases were analyzed, in order tostudy the regularity and main affect factors of surgery complications.Methods: Depending on clinical information, related factors closely with surgery of orbitaltumor were analyzed statistically.Results: Fifty-four kinds of various complications occurred within 45 cases (25.12%).Most complications were oculomotor apraxia (31.48% ), and then were ptosis(22.22% ), retrobulbar hemorrhage (18.51%), visual deterioration (12.96% ),mydriasis (12.96%), injury of dura mater encephali (1.85%).Conclusions: Occurred surgery complications related to location of tumor (P=0.027),the nature of tumor (P=0.045 ) , involved area of tumor and whether tumor with a clearline (P < 0.005). At the same time, it is also related to surgery approaches (P < 0.005).

【关键词】 眼眶肿瘤手术并发症
【Key words】 orbital tumorsurgerycomplication
  • 【分类号】R739.7
  • 【被引频次】12
  • 【下载频次】103
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