摘要
眼眶特发性炎性假瘤通常首选全身激素治疗 ,本文旨在探讨其手术治疗效果。方法 :回顾分析我中心 1980年 1月至 1994年 1月住院病人中用手术治疗的 5 2例患者 ,随访时间 6个月到 2 0年 ,平均 2 .9年。结果 :2 9例完全治愈 ,2例部分有效 ,2 1例复发。 2 1例复发病人中 ,2例经再次手术 ,5例经再手术加用全身激素 ,5例加用激素和环磷酰胺等免疫抑制药 ,5例加用激素和低剂量放射治疗 (2 0 GY,分 2个疗程 )后最终治愈。总治愈率为 88% (4 6 / 5 2 ) ,有效率为 92 % (4 8/ 5 2 )。结论 :手术治疗对表现为局限性占位性病变者有利于一次性清除病灶 ,提高治疗效果。
Purpose:To observe the effectiveness of surgical management of idiopathic orbital pseudotumor,which are usually treated by systemic corticosteroid.Methods:The records of 52 patients with a diagnosis of idiopathic orbital pseudotumor between Jan 1,1980 and Jan 1,1994 were reviewed.These patients were managed first by surgery with a mean follow up of 2 9 years(ranging from 6 months to 20 years).Results:29 patients obtained a cure,2 patient got a partial cure with no recurrence,21 patients had more than one recurrence.Of those patients with recurrences,17 finally got a cure after reoperation(2 cases),a combination of surgery and corticosteroids(5 cases),combination of surgery and corticosteroids and other immune suppressive drugs(5 cases),or a combination of surgery and corticosteroids and radiotherapy(5 cases).The total cure rate of treatment of these group of patients was 88%(46/52)and the effective rate was 92%(48/52).Conclusions:Surgical management of idiopathic orbital pseudotumor can improve the effectiveness of treatment,which not only remove the affected tissue at the time of surgery,but also reduce the dosage of corticosteroid and radiotherapy when combined with these modalitise.
出处
《中国实用眼科杂志》
CSCD
2000年第6期343-345,共3页
Chinese Journal of Practical Ophthalmology
关键词
眼框特发性炎性假瘤
手术治疗
Orbit Surgical management Inflammation Pseudotumor Idiopathic