放射治疗在眼眶病治疗中的应用

Application of radiotherapy on the orbital diseases

回顾总结 2 0年间眼眶病中应用放射治疗且记录详细的 112例 ,女性 40例 ,男性 72例 ;年龄 0 .5～ 78岁 ,平均 37.5岁 ;得到病理诊断者 10 4例 ,影像学诊断 7例 ,化验确诊 1例。包括良性病变 34例 ,恶性肿瘤 78例。采取 60 Co或深部 X线治疗 96次 ,加速器 (电子、光子等 ) 2 6次 ,X-刀 2次 ,γ-刀 13次 .,后装近距离治疗 +外照射 7次 ;放射野为正位、侧位或斜侧位 ;并有 13例采取手术、放疗和化疗的综合性治疗。结果 :在 5 8例恶性肿瘤随访中 ,3年无复发者 2 7例 ,5年以上无复发者 17例 ;良性病变随访 2年以上病变得到控制或消失。放疗后的并发症包括 :放射性白内障、皮疹、脱发秃睫、视力下降和失明。结论 :放射治疗是肿瘤综合治疗的重要手段之一。采用包括放射治疗在内的综合治疗 ,可解除患者的痛苦 ,提高患者的治愈率 ,保存患病器官的功能 。

Objective: To investigate the treatment result of radiotherapy for orbital diseases. Methods: A retrospective analysis of 112 patients with the orbital diseases was made. From Jan 1980 to Feb 2000, 112 patients with the orbital diseases were treated with radiotherapy. The mean age was 37.5 years. 34 of the patients were with benign tumors, 78 were malignant tumors. Radiotherapy include: depth X-ray, 60Co, λ-knife, accelerator and brachytherapy. Results: The 3-, and 5-year survival cases of these 58 patients with malignant tumors were 27 and 17 cases, respectively. The benign tumor can be cured by radiotherapy. The late complications were cataract, trichomadesis and visual lose. Conclusions: Excellent local control and long term survival can be achieved by radiotherapy. Comprehensive treatment by combining orbital surgery, radiotherapy and chemotherapy may be of value in malignant orbital tumors.