儿童眼眶占位病变分类与临床分析  

Space-occupying lesions of the orbit in children： a clinical study on 214 patients

作　　者：杨华胜[1] 刘国颖[1] 陈智聪[1] 艾思明[1] 毛羽翔[1] 颜建华[1] 吴中耀[1] 

机构地区：[1]中山大学中山眼科中心,广州510060

出　　处：《中国实用眼科杂志》2008年第1期27-30,共4页Chinese Journal of Practical Ophthalmology

摘　　要：目的 分析儿童眼眶占位病变的发病率、病种分类、病例组成和临床诊治特点。方法 回顾性统计分析1997年1月至2003年12月，住院收治的经临床和病理确诊的儿童眼眶占位性病变患者共214例的病例资料。结果 214例儿童眼眶占位病变包含13类，良性病变173例（占80．8％），恶性肿瘤41例（占19．2％）。良性病变以血管性、囊性和周围神经性病变最常见，恶性肿瘤以视网膜母细胞瘤、横纹肌肉瘤和淋巴瘤多见。每种疾病的临床和影像检查有各自的特点。结论 儿童眼眶占位病变以良性的血管性、囊性和周围神经性病变最常见。结合病史、临床体征和影像检查多能作出正确诊断。应根据不同的病种选择恰当的治疗措施。Objective To investigate the classification and incidence, the clinical features of orbital space-occupying lesions in children. Methods Retrospective survey of 214 padiatric patients（from January 1997 to December 2003） with orbital space-occupying lesions diagnosed by clinical and pathological examinations. Results Thirteen different kinds of pediatric orbital space-occupying lesions were categorized. The incidence of benign diseases was 80.8%, and of malignant tumors was 19.2%. Vasculogenic, cystic and peripheral nerve diseases were the most common pediatric orbital benign diseases. Orbital extension of retinoblastoma, rhabdomyosarcoma, lymphoma were the most common malignant tumor in children. It was characterstic of the clinical and imaging features of pediatric orbital space-occupying lesions. Conclusions Vasculogenic,cystic and peripheral nerve diseases were the most common pediatric orbital diseases. Characteristic clinical and imaging features are helpful for the diagnosis of pediatric orbital space-occupying lesions. The treatment may be considered according to the clinical features of pediatric orbital space-occupying lesions.

关 键 词：儿童 眼眶占位病变 诊断 治疗 

分 类 号：R739.720.4[医药卫生—肿瘤] R737.9[医药卫生—临床医学]