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Analysis of influencing factors of unfavourable prognosis of orbital tumor removal surgery |
LI Xuehui MA Dan WEN Mingxia HE Mengyu▲ |
Department of Ophthalmology, Tangdu Hospital the Second Affiliated Hospital of Air Force Military Medical University, Shaanxi Province, Xi’an 710077, China
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Abstract Objective To investigate influencing factors of unfavourable prognosis of orbital tumor removal surgery. Methods A total of 236 cases with orbital tumor patients in Tangdu Hospital from January 2020 to January 2022 were selected as objects. They were divided into unfavourable prognosis group and favourable prognosis group according to the prognosis. The unfavourable prognosis factors of orbital tumor removal surgery were analyzed. Results A total of 46 patients had unfavourable prognosis. There were statistically significant differences in age, operation time, tumor site, tumor nature, tumor boundary, complications, and tumor involvement between two groups (P<0.05). Age, operative time, tumor site, tumor nature, tumor boundary, complications, and tumor involvement were the influencing factors for unfavourable prognosis in orbital tumor removal patients (OR=2.987, 10.443, 4.000, 61.554, 77.852, 5.400, 15.741, P<0.05). Conclusion The age, operation time, tumor site, tumor nature, tumor boundary, complications, and tumor involvement of patients undergoing orbital tumor removal surgery are unfavourable prognosis influencing factors. Clinical monitoring of these patients should be strengthened to improve the level of prognosis recovery.
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[1] 运霜,李亚楠.眼眶肿瘤摘除手术的并发症及术后预后的影响因素分析[J].实用癌症杂志,2022,37(4):583-585.
[2] 薛嘉睿,吴昌凡,梅立新,等.皖南地区85例眼眶肿瘤临床特征及治疗分析[J].皖南医学院学报,2019,38(5):455- 457.
[3] 唐耀冰,邢艳巧,郝娟,等.前路开眶治疗眼眶肿瘤的效果观察[J].癌症进展,2021,19(1):59-61.
[4] 郭晓会,王兆艳,王斌,等.25例眼眶淋巴瘤的临床特点及预后分析[J].解放军医学院学报,2020,41(5):457-461.
[5] 张静,古庆家,余文兴,等.经鼻内镜下治疗侵及眼眶的鼻腔鼻窦恶性肿瘤36例临床分析[J].肿瘤预防与治疗,2019,32(4):331-335.
[6] 王娟,庞润晖,李妍,等.眼眶骨折植入性整复术后感染的病原学特征以及影响因素分析[J].中国病原生物学杂志,2020,15(10):1214-1217.
[7] 吴中耀.现代眼眶病学[M].北京:人民军医出版社,2002:621.
[8] Villalonga JF,Saenz A,Barbero JMR,et al. Surgical anatomy of the orbit. A systematic and clear study of a complex structure [J]. Neurocirugia(Astur),2019,30(6):259-267.
[9] 廖洪斐,余进海,胡长青,等.三维打印联合手术导航及内镜在眼眶骨折整复术中的应用[J].中华眼科杂志,2019, 55(9):658-664.
[10] 孙光瑞,郑晓龙,贺玲,等.开放性眼球损伤伴眼眶骨折患者预后影响因素分析[J].社区医学杂志,2020,18(19):1329-1332.
[11] 王兆伟,魏宗强,姜文静,等.针对性手术入路对眼眶深部海绵状血管瘤近中期预后的影响[J].中国现代医学杂志,2021,31(24):89-93.
[12] 向琴,李敏.眼眶肿瘤摘除术围手术期患者人文护理关怀[J].中华肿瘤防治杂志,2019,26(S1):172-173.
[13] 晏妮,罗曼丽,熊超,等.眼科循证护理在老年眼眶肿瘤患者行磁共振成像中的效果观察[J].老年医学与保健,2021,27(6):1209-1212.
[14] 李素霞,李侠,万晶晶,等.舒适护理对眼眶肿瘤患者术后睡眠质量及护理满意度的影响[J].肿瘤基础与临床,2021,34(1):83-85.
[15] 胡兵,谢华,张凯,等.舒适护理干预在眼眶肿瘤切除术患者中的应用[J].齐鲁护理杂志,2019,25(14):67-69.
[16] 李昆临.眼眶肿瘤的临床研究进展[J].中外医疗,2019, 38(25):195-198.
[17] Xu XQ,Hu H,Su GY,et al. Diffusion weighted imaging for differentiating benign from malignant orbital tumors:diagnostic performance of the apparent diffusion coefficient based on region of interest selection method [J]. Korean J Radiol,2016,17(5):650-656.
[18] Hu W,Hu J,Gao J,et al. Outcomes of orbital malignancies treated with eye-sparing surgery and adjuvant particle radio therapy:a retrospective study [J]. BMC Cancer,2019,19(1):776.
[19] Ren J,Yuan Y,Wu Y,et al. Differentiation of orbital lymphoma and idiopathic orbital inflammatory pseudotumor:combined diagnostic value of conventional MRI and histogram analysis of ADC maps [J]. BMC Med Imaging,2018, 18(1):6.
[20] Purohit BS,Vargas MI,Ailianou A,et al. Orbital tumours and tumour-like lesions:exploring the armamentarium of multiparametric imaging [J]. Insights Imaging,2016,7(1):43-68. |
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