CAJ | 학술논문

目的：探讨额-眶骨纤维异常增殖症的手术方法，评价视神经管减压+计算机塑形钛网颅骨缺损修补术的手术疗效。方法回顾性分析青岛疗养院眼科2005至2013年收治的25例纤维异常增殖症患者的临床资料，并进行统计学分析。结果随访1~9年，13例患者病变呈自限性倾向，无明显进展，1例患者额颞部凸面隆起加重但视力仍未受影响；2例随访患者患眼视力逐渐减退，改行手术治疗视力改善，9例手术患者10只视力受影响的眼中4只视力改善，患者面容皆明显改观，效果满意。全部手术病例的病变骨质病理学检查结果均为骨纤维结构不良。结论累及额-眶的骨纤维异常增殖症伴视力下降的患者，行病变骨切除+保留眶壁骨皮质患侧视神经管减压+计算机塑形钛网颅骨缺损修补术，可有效防止视力下降，减少并发症。
목적：탐토액-광골섬유이상증식증적수술방법，평개시신경관감압+계산궤소형태망로골결손수보술적수술료효。방법회고성분석청도요양원안과2005지2013년수치적25례섬유이상증식증환자적림상자료，병진행통계학분석。결과수방1~9년，13례환자병변정자한성경향，무명현진전，1례환자액섭부철면륭기가중단시력잉미수영향；2례수방환자환안시력축점감퇴，개행수술치료시력개선，9례수술환자10지시력수영향적안중4지시력개선，환자면용개명현개관，효과만의。전부수술병례적병변골질병이학검사결과균위골섬유결구불량。결론루급액-광적골섬유이상증식증반시력하강적환자，행병변골절제+보류광벽골피질환측시신경관감압+계산궤소형태망로골결손수보술，가유효방지시력하강，감소병발증。
Objective To investigate the operation method of the patients with fronto-orbital fibrous dysplasia and to evaluate the curative effects of optic canal decompression and cranioplasty by computer shaping titanium mesh. Methods The clinical data of 25 patients with fronto-orbital fibrous dysplasia who were treated in the Department of Ophthalmology of Qingdao Sanatorium of Shandong Province from 2005 to 2013 were retrospectively analyzed. Results Patients were followed up for 1~9 years, 13 cases have self limiting tendency without significant progress, 1 case with frontotemporal convex uplift increased without affected the vision, 2 cases were treated by operation after the visual decreased, 4 of 10 eyes of 9 cases the visual improved, all of them with face significantly improved were satisfied. The pathological examination results showed all bone lesions were bone fibrous dysplasia. Conclusions Patients underwent pathological bone resection and retained orbital wall bone cortex optic canal decompression and cranioplasty by computer shaping titanium mesh with fibrous dysplasia involving the fronto-orbital with vision decreased can effectively prevent vision loss and reduce complications.