眼球摘除病例的临床病理分析

Clinical and pathological analysis in Enucleation of 65 eye balls

我院眼科从1958年至1986年28年中共作了82例眼球摘除,其中65例送了病理切片检查。虽然我们严格掌握了眼球摘除的适应症和禁忌症,但从病理切片中,仍然发现临床上的误诊漏诊,从而促使了我们必须从临床与病理上去对比分析,以便不断提高临床诊断和治疗水平,现分析如下。

From 1958-1986,there were 82 eyes has made enucleation in ourophthalmological department,65 eye balls had been taken pathologicsection examination.Among 65 cases,male 44 eases,female 21 cases.agefrom 3—79 old,27right eyes,38 left eyes.According to analysis andcontrast of clinical and pathology,we found 5 eyes of clinical mistaken(7.7%),7 eyes of malignant tumors(10.8%),clinical diagnosis incomp-lete right as pathological 31 eyes(47.7%),clinical diagnosis incomplete28 eyes(43.1%),pathological incomplete 1 eye(1.5%)and then foundmore cases of enucleation were secondary glaucoma absolute stage 28eyes(43.1%).Furthermore,we also study other causes of incompleteclinical diagnosis,clinical mi taken and miss diagnosis.Otherwise,wealso know why importance of pathological section examination afterenucleation.