眼眶结核临床病理分析

Clinical and pathological analysis of orbital tuberculosis

目的:通过对10例眼眶结核的临床特点分析来提高眼眶结核诊断率。方法:回顾性分析10例经病理组织学确诊的眼眶结核的临床病理特征、影象学特点、诊断等资料。结果:所有病例均手术切除,病理确诊为眼眶结核,且术后抗结核治疗后,随访无复发。结论:眼眶结核的临床表现不典型,实验室及影像学检查不具备特异性,容易误诊。病理组织学检查是确诊的主要方法。

Objective. Clinical features of 10 patients with orbital tuberculosis were analyzed in order to improve its diagnosis accuracy. Methods： Data of the 10 pathological test confirmed cases including clinical and pathological features, images and diagnosis were retrospectively analyzed. Results. All the 10 cases of orbital tuberculosis were excised and confirmed by pathologic test. Conclusions. Since neither characteristic clinical manifestation nor specificity of laboratory test or imaging detection has been found, orbital tuberculosis can be easily misdiagnosed. Pathologic test is the main way to make definite diagnosis.