CAJ | 학술논문

眼眶血管性疾病是最常见的一类眼眶病变,主要包括血管瘤和血管畸形,临床表现复杂、治疗方法多样.规范分类是选择合理治疗方案的重要前提,美国和加拿大的眼眶学界已根据病理类型和血液动力学特点,对眼眶血管性疾病提出了确切的分类,并日益被欧美眼眶外科医师广泛采用.但目前我国眼眶血管性疾病研究仍沿用传统的形态学分类,该分类未能明确眼眶血管瘤和血管畸形之间的细胞病理学差异,且忽略了眼眶血管畸形的血液动力学特征,给临床治疗带来很多不必要的问题.应充分认识眼眶血管性疾病病理和血液动力学分类方法的优点,积极推广应用,为针对性地选择适当的治疗方法提供依据,提高我国眼眶血管性疾病的临床治疗水平.
안광혈관성질병시최상견적일류안광병변,주요포괄혈관류화혈관기형,림상표현복잡、치료방법다양.규범분류시선택합리치료방안적중요전제,미국화가나대적안광학계이근거병리류형화혈액동역학특점,대안광혈관성질병제출료학절적분류,병일익피구미안광외과의사엄범채용.단목전아국안광혈관성질병연구잉연용전통적형태학분류,해분류미능명학안광혈관류화혈관기형지간적세포병이학차이,차홀략료안광혈관기형적혈액동역학특정,급림상치료대래흔다불필요적문제.응충분인식안광혈관성질병병리화혈액동역학분류방법적우점,적겁추엄응용,위침대성지선택괄당적치료방법제공의거,제고아국안광혈관성질병적림상치료수평.
Orbital vascular lesions, mainly including hemangioma and vascular malformation, are the most common disorders among orbital diseases. Vascular lesions of the orbit have clinically complicated presentations and are very hard to deal with. Selection of therapeutic modality on orbital vascular lesions requires an appropriate classification of them. An improved classification of these lesions has been proposed by the Orbital Society based on the pathological types and hemodynamic features and has been extensively used in developed countries. However, orbital vascular lesions are still being classified based on morphology in China. This classification system does not represent the pathological difference between hemangioma and vascular malformation of the orbit, nor the hemedynamic characteristics among different vascular malformations of the orbit. Morphology based classification has hampered scientific dialogue and confused clinicians, with occasionally serious consequences for patients. Thus, the use of a pathology and hemodynamics based classification of orbital vascular lesions should be highly advocated. We can expect that the use of appropriate classification can improve the management of these lesions in our country.