眶前部占位性病变231例临床分析  

Clinical analysis for 231 cases of pre-orbital diseases

作　　者：潘叶[1] 唐东润[1] 翟文娟[1] 陈凤菊[1] 

机构地区：[1]天津市眼科医院眼眶整形科,天津300020

出　　处：《眼外伤职业眼病杂志》2010年第10期739-741,共3页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的对我科收治的231例(281眼)眶前部占位性病变进行回顾性总结分析。方法总结眶前部常见病变的病理类型,对一些常见的、有代表性的及容易混淆的疾病分别进行讨论。结果本文收集的眶前部病变有20种。其中最常见的有皮样囊肿34例(34眼),泪腺脱垂27例(49眼),眶脂肪脱出24例(40眼),皮样脂肪瘤22例(24眼),海绵状血管瘤21例(21眼),泪腺炎14例(24眼),副泪腺导管囊肿12例(12眼),结膜上皮性囊肿9例(9眼)。结论发生于眶前部病变种类繁多,CT和彩色多普勒是初步判断病变特性的重要手段,也是选择合理的手术路径,完整切除病变及获得最佳外观的基本保证。Objective A retrospective study of 231 cases of pre-orbital or periorbital lesions.Methods Reviewed the pathologic patterns,classified as superior,inferior,lacrimal sac and lacrimal gland area.The clinical features and differentiation of some of the typical lesions were discussed.Results There were 20 kinds of pathologic patterns＇of diseases in pre-orbital and periorbital area,the very common ones included：dermoid cyst 34（34/231,14.72%）,dacryoadenoptosis 27 cases,49 eyes（27/231,11.69%）,orbital adipocele 24 cases,40 eyes（24/231,10.39%）,dermolipoma 22cases,24 eyes（22/231,9.52%）,cavernous haemangiomas 21（21/231,9.09%）,dacryoadenitis 14 cases,24 eyes（14/231,6.06%）,dacryops 12（12/231,5.19%）,conjunctiva epidermal cyst 9（9/231,3.90%）.Conclusion Varies diseases and tumors arised from pre-orbit or periorbital area.CT and Colored Dopplor Ultrasound detection were essetial examinations to disclose the lesion＇s nature and characteristics,and to ensure a proper approaches and a satisfied cosmetic result as well.

关 键 词：眶前 眶周 占位病变 眼眶肿瘤 

分 类 号：R777.5[医药卫生—眼科]