CAJ | 학술논문

目的分析和探讨不同疾病所致双侧泪腺肿大的临床表现和影像特征,为临床诊断和治疗提供依据.方法回顾性分析在治疗的伴有双侧泪腺肿大的眼眶病患者的临床资料,对其不同眼眶疾病所表现的双侧泪腺肿大进行临床和影像分析.结果共收治82例双侧泪腺肿大病例,依患病率高低依次为泪腺炎性假瘤,甲状腺相关眼病,泪腺脱垂伴肿大,非霍奇金淋巴瘤,良性淋巴上皮性病变,泪腺结核,转移性泪腺恶性肿瘤和白血病,泪腺结节病.不同疾病所致的双侧泪腺肿大各有其不同的临床表现和影像特征.结论导致双侧泪腺肿大的疾病主要为泪腺炎症性或自身免疫相关性疾病,少数为原发性或转移性恶性肿瘤,除甲状腺相关眼病具有特征性眼征和影像学特点较易诊断外,其它伴有双侧泪腺肿大的眼眶病需要根据病史、临床特征和影像学表现进行鉴别诊断.
목적 분석화탐토불동질병소치쌍측루선종대적림상표현화영상특정,위림상진단화치료제공의거.방법 회고성분석재치료적반유쌍측루선종대적안광병환자적림상자료,대기불동안광질병소표현적쌍측루선종대진행림상화영상분석.결과 공수치82례쌍측루선종대병례,의환병솔고저의차위루선염성가류,갑상선상관안병,루선탈수반종대,비곽기금림파류,량성림파상피성병변,루선결핵,전이성루선악성종류화백혈병,루선결절병.불동질병소치적쌍측루선종대각유기불동적림상표현화영상특정.결론 도치쌍측루선종대적질병주요위루선염증성혹자신면역상관성질병,소수위원발성혹전이성악성종류,제갑상선상관안병구유특정성안정화영상학특점교역진단외,기타반유쌍측루선종대적안광병수요근거병사、림상특정화영상학표현진행감별진단.
Objective To analyze and study the disease that caused bilateral lacrimal gland enlargement,so as to provide evidence for clinical diagnosis and treatment. Methods Retrospective case analysis.The patients whose lcarimal gland enlargements on CT were collected,clinical manifest and image were analyzed.Results There were 82 cases of patients were collected.According to the prevalence rate,the sequencing was lacrimal gland inflammatory pseudo tumor,thyroid associated ophthalmology (TAO),dislocation of lacrimal gland accompanied enlargement,non-Hodgkin disease,benign lymphoepithelial lesion (BLEL),tuberculosis of lacrimal gland,metastatic malign tumor of lcarimal gland,leukemia,sarcoidosis of lacrimal gland.Each disease had its own character in clinical and imaging features. Conclusions The majority of diseases that cause bilateral lacrimal gland enlargement are inflammatory diseases or autoimmune diseases,while few primary or metastatic malignant tumors.Expect TAO has characteristic eye sign and imagine that easy to be diagnosed,the other orbit diseases need combines with clinical history,symptom and imagine feature to be differential diagnosed