Yan Jianhua, Wu Zhongyao
Zhongshan Ophthalmic Center, Section of Ocular Oncology & Orbital Disease, Sun Yat-sen University, Guangzhou, People's Republic of China.
Orbit. 2004 Mar;23(1):33-40. doi: 10.1076/orbi.23.1.33.28992.
The records of all patients with orbital cavernous hemangioma managed at Zhongshan Ophthalmic Center, Sun Yat-sen University from Jan. 1, 1986 to Dec. 31, 2000 (n = 214) were reviewed retrospectively. Among them, 126 patients were female and 88 were male. The mean age was 39.4 years, ranging from 5.0 to 68.0 years. The left orbit was affected in 127 cases and the right one in 87 cases. No case showed bilateral involvement. A painless, gradually progressive proptosis and visual disturbance were the main clinical signs. Ninety-three percent of the patients (199/214) could be accurately diagnosed preoperatively based on echography and CT/MRI. The tumors were removed successfully by standard lateral orbitotomy in 35% (75/214) and by anterior orbitotomy in 65% (139/214). Anterior orbitotomy has become an important surgical procedure in the treatment of orbital cavernous hemangioma with excellent effect.
回顾性分析了1986年1月1日至2000年12月31日在中山大学中山眼科中心接受治疗的所有眼眶海绵状血管瘤患者的病历（n = 214）。其中，女性126例，男性88例。平均年龄为39.4岁，范围为5.0至68.0岁。左侧眼眶受累127例，右侧眼眶受累87例。无双侧受累病例。无痛性、逐渐进展的眼球突出和视力障碍是主要临床体征。93%的患者（199/214）术前通过超声检查和CT/MRI能够准确诊断。35%（75/214）的患者通过标准外侧开眶术成功切除肿瘤，65%（139/214）的患者通过前路开眶术成功切除肿瘤。前路开眶术已成为治疗眼眶海绵状血管瘤的重要手术方法，效果良好。
