鼻源性眼球突出症的临床特征及处理

Clinical feature and treatment on rhypenous unilateral exophthalmoses

目的 探讨鼻源性眼球突出症的临床特征及处理措施，提高其诊断和治疗的正确性。方法 总结分析鼻源性眼球突出症137例患者的临床资料。结果 137例中，良性病变98例（71．5％），恶性肿瘤39例（28．5％）。均行手术治疗。98例良性病变中83例行鼻内镜下手术，15例行鼻外进路手术；术后92例眼球突出完全恢复正常，6例恢复不完全。随访1年以上无复发。恶性肿瘤39例中，采取不同的术式加术后放疗，其中32例保留眼球，术后均有不同程度的恢复。结论 鼻源性眼球突出症有其临床特点，CT是重要的检查手段，良性鼻源性眼球突出症的治疗主要是鼻内镜手术，鼻窦恶性肿瘤引起眼球突出的治疗应根据不同情况采取不同的措施。

Objective To investigate the clinical feature and treatment on rhypenous unilateral exophthalmoses and increase, their correctness of diagnosis and treatment. Methods One hundred and thirty-seven rhypenous unilateral exophthalmoses patients＇ clinical data were analyzed. Results There were 39 malignant tumors （28.5%） and 98 benign diseases （71.5%） in the 137 patients. All 137 cases underwent surgical operation. Eighty-three patients were treated through intranasal endoscopic surgery and 15 patients were treated through the outside of nose approach in 98 benign diseases. Ninty-two patients with exophthalmoses creed and 6 patients recovered incompletely after operation. After more than 1-year follow-up, no recurrence happened. The eyeballs of 32 cases were kept in 39 malignant tumors being used by operation combined with radiotherapy. Conclusions Rhypenous unilateral exophthalmoses has their clinical features. CT is an effective method for diagnosis of rhypenous unilateral exophthalmoses. Intranasal endoscopic surgery is the important method for benign rhypenous unilateral exophthalmoses. Patients with rhypenous unilateral exophthalmoses resulted from malignant tumors should be taken different measures according to different circumstances.