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脉络膜黑色素瘤的手术治疗

[Surgical management of choroidal melanoma].

作者信息

Romanowska-Dixon Bozena

机构信息

Z Katedry i Kliniki Okulistyki Collegium Medicum Uniwersytetu Jagiellońskiego w Krakowie.

出版信息

Klin Oczna. 2005;107(10-12):635-41.

PMID:16619808
Abstract

The aim of this paper, was to report my own experiences of the surgical treatment of choroidal melanoma. 10 patients treated by transscleral resection with additional rutenium brachytherapy between January 1995 and June 2001, were evaluated in the study. Intraoperative complications included bleeding (3 cases), vitreous loss (3) and residual tumor successfully treated with iodine brachytherapy in one case. Postoperative retinal detachment with painful hypotony in one case was the reason of enucleation. The evaluation of functional results has shown no impairment of visual acuity in 20% of cases and did not change during follow up. These observations encouraged us in our belief that transscleral resection is an alternative method of treatment of choroidal melanoma.

摘要

本文旨在报告我本人对脉络膜黑色素瘤手术治疗的经验。本研究评估了1995年1月至2001年6月间接受经巩膜切除术并辅以钌近距离放疗的10例患者。术中并发症包括出血(3例)、玻璃体丢失(3例),1例残余肿瘤成功接受碘近距离放疗。1例术后视网膜脱离伴疼痛性低眼压是眼球摘除的原因。功能结果评估显示,20%的病例视力无损害,且随访期间未发生变化。这些观察结果使我们坚信,经巩膜切除术是脉络膜黑色素瘤的一种替代治疗方法。

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