基于影像学分类的眼眶炎性假瘤诊疗方法选择  

Role of imaging classification in the diagnosis and management of orbital inflammatory pseudotumor

作　　者：杨华胜[1] 张特 叶慧菁[1] Yang Huasheng;Zhang Te;Ye Huijing(Zhongshan Ophthalmic Center,Sun Yat-sen University,State Key Laboratory of Ophthalmology,Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science,Guangdong Provincial Clinical Research Center for Ocular Diseases,Guangzhou 510060,China)

机构地区：[1]中山大学中山眼科中心,眼科学国家重点实验室,广东省眼科视觉科学重点实验室,广东省眼部疾病临床医学研究中心,广州510060

出　　处：《中华眼科杂志》2023年第1期8-12,共5页Chinese Journal of Ophthalmology

基　　金：国家自然科学基金(81670887,81800866,81870689)。

摘　　要：眼眶炎性假瘤(OIP)是一种无明确病因、以炎性反应为主要特征的眼眶特发性良性占位性病变。临床采用排他性诊断,也可通过手术行活体组织检查,以组织病理学检查结果明确诊断。临床药物治疗和手术切除既是诊断手段又是治疗方法,如何选择诊疗方法是困扰临床医师的难题。本文按影像学特征对OIP进行分类,并以此提出OIP诊疗新策略,以期进一步提高OIP的临床诊疗水平。Orbital inflammatory pseudotumor(OIP)is a kind of orbital idiopathic benign space-occupying lesion with no clear etiology and mainly characterized by inflammatory response.The clinical diagnosis of OIP should be based on exclusion of other diseases or surgical biopsy.Medication and surgical excision are both diagnostic and therapeutic methods.The choice of which is a problem that baffles clinicians.This article discusses a new strategy basing on the imaging features and classifications of OIP.It is expected to be further discussed and promoted in clinical practice to improve the diagnosis and treatment of OIP.

关 键 词：眼眶假瘤 糖皮质激素类 活组织检查 诊断显像 

分 类 号：R777.5[医药卫生—眼科]