摘要
目的探讨眼眶占位性病变的临床诊断,手术治疗及其组织病理学分类。方法对2004年1月～2006年5月手术治疗的36例(36眼)眼眶占位性病变的性别、年龄、眼别及病理检查结果进行分析。结果恶性肿瘤3例,良性病变33例。组织病理学检查:恶性肿瘤3例均为非何杰金氏淋巴瘤;良性者中海绵状血管瘤9例,泪腺多形性腺瘤8例,静脉性血管瘤3例,炎性假瘤3例,囊肿3例,皮脂腺囊肿2例,淋巴管瘤、视神经胶质瘤、神经纤维瘤、骨瘤及颗粒细胞瘤各1例。在泪腺多形性腺瘤中浸润性生长3例,恶变1例。结论眼眶占位性病变种类繁多,良性肿瘤中以海绵状血管瘤多见,可采用前路开眶或外侧壁开眶顺利摘除肿瘤,次为泪腺多形性腺瘤,并且容易因手术切除不彻底或术中肿瘤破碎残留肿瘤细胞而改变生长方式,甚至于恶变。炎性假瘤手术完整切除较难,多要进一步作术后治疗。神经源性肿瘤早期就对视力损伤较大。
Objective To investigate the clinical diagnosis, surgical treatment and the histopathologic classification of space-oc- cupying orbital diseases. Methods Retrospectivly analyzed 36 surgical cases of orbital diseases from January 1st 2004 to May 31 st, 2006. Results There were 3cases of malignant orbital tumors, all were males and left eyes, the average age was 71 years old; There were 33 cases of benign orbital diseases. Among them, 17 patients were males and the average age was 42.76 years and 16 patients were females and the average age was 41.69 years. 17 ca- ses were right orbit, 16 cases were left orbit. Pathological results showed all cases of malignant orbital tumors were non-Hodgkin＇ s disease. Among the cases of benign orital diseases, 9 cases were cavernous hemangioma, 8 cases were benign pleomorphic adenoma of lacrimal gland, 3 cases were vascular leiomyoma, 3 cases were inflammatory pseudotumor, 3cases were cyst, 2 cases were dermoid cyst, one case of lymphangioma, one case of optic nerve glioma, one case of neurofibroma, one case of osteoma, one case of granu- lar cell tumor, in these benign pleomorphic adenoma of lacrimal gland cases, 3 of them were infiltrating growth, canceration 1 case. Conclusion The variety of orbital occupication are enormous. Cavernous hemangioma is the most common case in the benign or- bital diseases. The tumor can be excised successfull by the surgical procedure of anterior orbitotomy or standard lateral orbitotomy. The secondary common are benign pleomorphic adenoma of lacrimal gland cases, it is easy because the excisive surgery is not thorough or residual tumor cells resulted from tumor broken during surgery operation, benign pleomorphic adenomas changes their growth way even canceration. Surgical of inflammatory pseudotumor is more difficultly to be excised thoroughly and further treatments are to be needed after operation. Comparatively, tumor of the optic nerve can make more damage to vision at its early stage.
出处
《眼外伤职业眼病杂志》
北大核心
2007年第8期598-600,共3页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词
眼眶肿瘤
手术
orbital neoplasms
pathology
