183例眼眶占位性病变病理结果分析  

Pathological Result Analysis of 183 Cases of Orbital Space-Occupying Lesions

作　　者：余肖 任德奎 洪瑾 Yu Xiao;Ren Dekui;Hong Jin(Department of Ophthalmology,General Hospital of Eastern Theater Command,Nanjing 210000,Jiangsu Province,China)

机构地区：[1]东部战区总医院眼科,江苏南京210000

出　　处：《中国社区医师》2024年第31期77-79,共3页Chinese Community Doctors

摘　　要：目的:分析183例眼眶占位性病变病理结果,为眼眶疾病的诊治提供参考。方法:选取2002年12月—2022年8月东部战区总医院秦淮医疗区眼科收治的183例眼眶占位性病变患者作为研究对象,分析眼眶占位性病变组织来源分类及变性质分类。结果:183例眼眶占位性病变中,以脉管瘤(41例,22.41%)最多,其次为眼眶囊性病变(32例,17.49%)、淋巴造血系统肿瘤(30例,16.39%)。良性肿瘤138例,占眼眶占位性病变的75.41%,其中以海绵状血管瘤(35例,25.36%)、皮样囊肿(17例,12.32%)、泪腺多形性腺瘤(14例,10.15%)较多。恶性肿瘤45例,占眼眶占位性病变的24.59%,其中以非霍奇金淋巴瘤(20例,44.45%)、鳞癌(7例,15.56%)、转移癌(6例,13.33%)较多。结论:眼眶占位性病变病理类型较多,临床应根据病理分类和分型,结合临床表现及影像学特征等进行诊断,减少误诊及漏诊,为疾病的治疗提供依据。Objective:To analyze the pathological results of 183 cases of orbital space-occupying lesions,and provide references for the diagnosis and treatment of orbit disease.Methods:A total of 183 patients with orbital space-occupying lesions who were admitted to the Ophthalmology Department at Qinhuai Medical District of General Hospital of Eastern Theater Command from December 2002 to August 2022 were selected as the study subjects.The tissue source classification and nature classification of orbital space-occupying lesions were analyzed.Results:Among 183 cases of orbital space-occupying lesions,vascular tumors(41 cases,22.41%)were the most prevalent,followed by orbital cystic lesions(32 cases,17.49%)and lymphohematopoietic tumors(30 cases,16.39%).There were 138 cases of benign tumors,accounting for 75.41%of orbital space-occupying lesions,in which cavernous hemangioma(35 cases,25.36%),dermoid cyst(17 cases,12.32%),and pleomorphic adenoma of lacrimal gland(14 cases,10.15%)were prevalent.There were 45 cases of malignant tumors,accounting for 24.59%of orbital space-occupying lesions,in which non-Hodgkin lymphoma(20 cases,44.45%),squamous cell carcinoma(7 cases,15.56%),and metastatic cancer(6 cases,13.33%)were prevalent.Conclusion:Orbital space-occupying lesions encompass a variety of pathological types.Clinical diagnosis should be made according to pathological classification and type and in combined with clinical manifestations and imaging features,so as to reduce misdiagnosis and missed diagnosis and provide a basis for the treatment of diseases.

关 键 词：眼眶占位性病变 病理诊断 组织来源 

分 类 号：R739.7[医药卫生—肿瘤]