成人眶蜂窝织炎的病因及临床特点

Etiology and clinical features of orbital cellulitis in adults

目的探讨成人眶蜂窝织炎病因及临床特点。方法回顾性分析本院2010年1月至2017年12月的54例成人眶蜂窝织炎的临床资料,比较由眼眶及临近组织感染致病者与无此病因者的临床表现。结果前者33例占61.11%,与后者比较,其眼球筋膜下积液、眼外肌增粗、视神经受累及严重并发症的差异均有统计学意义(P<0.05).结论成人眶蜂窝织炎的主要感染渠道是局部和临近组织炎症蔓延,其中泪囊炎是主要病因。非局部和临近组织炎症蔓延致病者病情更为严重。

Objective To investigate the etiology and clinical features of orbital cellulitis in adults. Methods The data of 54 adults with orbital cellulitis from Jan. 2010 to Dec. 2017 were analyzed retrospectively. The clinical manifestations of patients infected by orbital and adjacent tissues were compared with those without these causese. Results There were 33 cases (61.11%) with orbital and adjacent tissue infection. The differences in subfascial effusion, extraocular muscle thickening, optic nerve involvement and severe complications were statistically significant between the two groups ( P < 0. 05 ). Conclusion The spread of local and adjacent tissues is still the main infection channel of adult orbital cellulitis, dacryocystitis is the main cause. Severity of disease is more serious in those without local and adjacent tissue lesions.