CAJ | 학술논문

目的探讨新疆维吾尔自治区眼眶肿瘤的临床特点、组织病理学分类、治疗方式及预后.方法回顾性系列病例研究.对解放军474医院在2005年8月至2009年8月收治包括各民族的63例(64只眼)眼眶肿瘤病例进行了回顾性分析.结果本组病例中以良性肿瘤为主,民族分布为:汉族37例,维族16例(16只眼),回族4例,蒙古族3例,哈萨克族3例.血管性肿瘤占大多数,其次为囊肿、炎性假瘤、神经源性肿瘤、泪腺混合瘤、脂肪瘤、包虫.恶性肿瘤以横纹肌肉瘤和泪腺腺癌为主,其次为非霍奇金淋巴瘤.手术方式以眶部皮肤入路或前部开眶为主,其次为经外眦切开联合下穹隆结膜入路、经外侧壁开眶.手术后较严重的并发症为视力下降,2例炎性假瘤患者出现复发.结论新疆维吾尔自治区眼眶肿瘤类型及发病情况与其他地区眼眶肿瘤发病情况基本一致；眼眶包虫具有地域特异性；手术摘除是主要而有效的治疗方式,预后与肿瘤累及范围、术前的准备、术中操作、术后处理以及临床经验技巧有关.
목적 탐토신강유오이자치구안광종류적림상특점、조직병이학분류、치료방식급예후.방법 회고성계렬병례연구.대해방군474의원재2005년8월지2009년8월수치포괄각민족적63례(64지안)안광종류병례진행료회고성분석.결과 본조병례중이량성종류위주,민족분포위:한족37례,유족16례(16지안),회족4례,몽고족3례,합살극족3례.혈관성종류점대다수,기차위낭종、염성가류、신경원성종류、루선혼합류、지방류、포충.악성종류이횡문기육류화루선선암위주,기차위비곽기금림파류.수술방식이광부피부입로혹전부개광위주,기차위경외자절개연합하궁륭결막입로、경외측벽개광.수술후교엄중적병발증위시력하강,2례염성가류환자출현복발.결론 신강유오이자치구안광종류류형급발병정황여기타지구안광종류발병정황기본일치；안광포충구유지역특이성；수술적제시주요이유효적치료방식,예후여종류루급범위、술전적준비、술중조작、술후처리이급림상경험기교유관.
Objective To analyse the clinical features,histopathological classifications,treatments and prognosis of orbital tumors in Xinjiang.Methods The authors retrospectively analyse 63 patients (64 eyes) with orbital tumors,including all nationalities which had been received and treated in ophthalmic department of the PLA 474th Hospital during 2005 to 2009.Results The nationality composition in our cases was 37 Han,16 Uygur (16 eyes),4 Hui,3 Mongol,and 3 Kazak.Our data mainly consisted of benign tumor.,in which,the majority were the vascular tumors,and then were cysts,inflammatory pseudotumor,neurogenic tumors,mixed tumors of lacrimal gland,lipoma and hydatid.The malignant tumors mainly consisted of rhabdomyosarcoma and adenocarcinoma of lacrimal gland,then was non-Hodgkin lymphoma.The operation methods we selected were approaching by orbital skin or anterior skin incision,ateralorbitotomy and approaching by outer canthus incision plus lower fornical conjunctiva incision.The severe postoperative complication was impaired vision,and 2 patients with inflammatory pseudotumor had recrudesced.Conclusions There is no difference on the types and morbidity situation of orbital tumors between Xinjiang and other areas in general,in addition orbital hydatid which was closely related to regional characteristic of Xinjiang,Surgical excision is the main and effective treatment,the prognosis is related to the local tissue extension of tumor,comprehensive pre-operation preparations,careful operation,appropriate post-operative managements and rich clinic experience of doctor.