儿童眼眶囊肿病例临床特点回顾性分析  

Retrospective Analysis of Clinical Features of Orbital Cyst in Children

作　　者：俞佳伟[1] 邢悦 王晓辉[1] Yu Jiawei;Xing Yue;Wang Xiaohui(Harbin Children's Hospital,Harbin Heilongjiang 150010)

机构地区：[1]哈尔滨医科大学附属第六医院眼科,黑龙江哈尔滨150010

出　　处：《哈尔滨医药》2023年第2期29-31,共3页Harbin Medical Journal

摘　　要：目的探讨儿童眼眶囊肿的临床特点及病理学诊断。方法回顾性分析96例儿童眼眶囊肿患者的临床表现、影像学表现、病理学诊断及治疗方式等。结果96例眼眶囊肿患者前来就诊时发病时间最短为出生即有,最长为4年;96例患者的肿物在皮肤表面均可触及,活动度大多尚可,全部未合并脓肿或周围组织炎;96例患者中,72例曾行眼眶CT检查,其中61例示囊肿内低密度、8例示皮样囊肿,2例示密度欠均匀,1例示囊肿内高密度;96例患者中,88例行术后病理学检查,其中皮样囊肿(dermoid)64例,皮脂腺囊肿(cyst sebaceousglands)16例,钙化上皮瘤(Calcifying epithelioma of Malherbe)8例;所有病例均行手术完整切除,且门诊复查未复发。结论眼眶囊肿发病较早,临床症状较为明显。对怀疑为皮样囊肿、皮脂腺囊肿或钙化上皮瘤等的患者,应详细完善影像学检查,应尽早予以个体化手术治疗,并行术后病理学检查,为患儿预后及眼眶囊肿的诊疗提供参考。Objective To investigate the clinical characteristics and pathological diagnosis of orbital cyst in children.Methods A total of 96 children with orbital cystwere retrospectively analyzed in terms of clinical manifestations,imaging manifestations,pathological diagnosis and treatment.Results 96 patients with orbital cysts ranged.The onset time of the patient was the shortest at birth and the longest was 4 years.The masses of 96 patients were all palpable on the skin surface,and most of them had fair activity.None of them had abscess or surrounding tissue inflammation.Of the 96 patients,72 underwent orbital CT examination,of which 61 showed low density in cysts,8 showed dermoid cysts,2 showed uneven density,and 1 showed high density in cysts.Postoperative pathological examination was performed on 88 of the 96 patients,including 64 dermoid cyst,16 sebaceous cyst and 8 Calcifying elioma of Malherbe.All cases underwent complete surgical resection,and no recurrence was found in outpatient review.Conclusion Orbital cyst has early onset and obvious clinical symptoms.For patients suspected of dermoid cyst,sebaceous cyst or calcified epithelioma,detailed imaging examination should be improved,individualized surgical treatment should be performed as soon as possible,and postoperative pathological examination should be carried out to provide reference for prognosis and diagnosis and treatment of orbital cyst.

关 键 词：儿童 眼眶囊肿 手术 影像学检查 病理诊断 

分 类 号：R729[医药卫生—儿科]