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頁籤選單縮合
題名 | Eyewall Resection for a Uveal Malignant Melanoma under Local Anesthesia=局部麻醉下實施眼球壁切除術成功治療睫體惡性黑色素瘤 |
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作者姓名(中文) | 黃奕修; 陳珊霓; 趙安年; | 書刊名 | 長庚醫學 |
卷期 | 25:12 2002.12[民91.12] |
頁次 | 頁850-853 |
分類號 | 416.749 |
關鍵詞 | 眼球壁局部切除術; 睫體黑色素惡性瘤; 局部麻醉; Eyewall resection; Ciliary body melanoma; Local anesthesia; |
語文 | 英文(English) |
中文摘要 | 一44歲男性因外院發現左眼睫體腫瘤而轉至本院治療。經檢查發現為睫體黑色素惡性腫瘤但無全身轉移現象。吾人於局部麻醉下實施局部眼窩切除術以切除此惡性腫瘤。之前有關局部眼窩切除之報告皆認為此術式應當於全身麻醉下施行以避免併發症發生。吾人在局部麻醉下施行此術式而手術進行順利且術中及術後並無發生併發症。術後此病人追蹤三年並無腫瘤復發。 局部眼球壁切除術是替代眼球剜除術以治療睫體黑色素惡性瘤的良好術式。此術式不只可保住病人的視力及外觀,而且不會犧牲病人的存活率。當病人身體狀況並不適於全身麻醉時,局部麻醉下施行此手術亦是可行。此報告為至今在局部麻醉下施行局部眼球壁切除術的首例報告。 |
英文摘要 | A 44-year-old man was referred to our hospital for ciliary body tumor management. A uveal melanoma in the left eye without systemic metastasis was our impression after a series of examinations. We treated this patient with eyewall resection under local anesthesia. Eyewall resection was previously regarded as a complicated procedure that should be performed under general anesthesia. Our surgery was successful, and there were no complications related to the local anesthesia. We followed up this patient for 3 years, and no recurrence was found. Eyewall resection is a good alternative to enucleation for treating a ciliary body melanoma. Under a premise of survival, eyewall resection can maintain part of the visual function and cosmetics. General anesthesia is not indispensable when a patient’s health does not allow its use. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。