眼眶肿瘤病理类型、影像学特征及治疗特点分析

Analysis of Pathological Types,Imaging Characteristics and Treatment Characteristics of Orbital Tumors

目的分析眼眶肿瘤临床特征及治疗情况。方法回顾性分析62例(62只)眼眶肿瘤患者临床资料,所有患者均行眼眶CT及MRI检查,并行眼眶肿瘤摘除术治疗。分析62例眼眶肿瘤患者病理类型、影像学特征及治疗入路选择。结果62例眼眶肿瘤患者中良性肿瘤47例(75.81%),恶性肿瘤15例(24.19%);47例良性肿瘤中以海绵状血管瘤最为常见,共15例;15例恶性肿瘤中以恶性淋巴瘤最为常见,共9例。62例眼眶肿瘤患者均行眼眶CT及MRI检查,其中39例瘤体位于肌锥外间隙,以良性肿瘤居多,23例位于肌锥内;瘤体在影像图像上大小依据最大直径呈大型(>5 cm)肿瘤、中型(3.5~5 cm)肿瘤、小型肿瘤(<3.5 cm),分别为13例、7例、42例;MRI增强信号良性肿瘤多呈均匀密度,恶性肿瘤多呈密度不均,且多有组织侵犯。62例眼眶肿瘤患者中,37例(59.68%)行前路开眶术,17例(27.42%)行外侧开眶术,4例(6.45%)行眶内容物剜除术,2例(3.23%)行内侧开眶术,2例(3.23%)行内外侧联合开眶术。结论眼眶肿瘤中良性肿瘤以海绵状血管瘤最为常见,恶性肿瘤以恶性淋巴瘤最为常见,CT结合MRI检查在眼眶肿瘤诊断中具有重要价值,手术入路方式应结合术前影像学检查结果合理选择,以降低术后并发症发生率,提高手术效果。

Objective To analyze the clinical characteristics and treatment of orbital tumors.Methods The clinical data of 62 patients(62)orbital tumor patients were retrospectively analyzed,and all patients underwent orbital CT and MRI examination and were treated with orbital tumor removal.Pathological types,imaging features and treatment approach options of 62 patients with orbital tumors were analyzed.Results Of the 62 patients with orbital tumors,47 cases(75.81%)were benign tumors,15 cases were malignant tumors,Accounting for 24.19%;Spongous hemangioma was the most common among the 47 benign tumors,a total of 15 cases;Malignant lymphoma was the most common among the 15 malignancies,a total of 9 cases;All 62 patients with orbital tumors were examined for orbital CT and MRI,Of these,39 tumor bodies were located in the extraoconic space,Most benign tumors were benign,23 cases were located within the muscle cone;The size of the tumor body was large(>5 cm)tumors,medium(3.5 cm~5 cm)tumors,and small tumors(<3.5 cm),respectively were 13,7 and 42 tumors(<3.5 cm);MRI enhanced signal benign tumors mostly show uniform density,Malignancies were mostly heterogeneous in density,And many organizational violations;Of the 62 patients with orbital tumors,37 patients(59.68%)had anterior orbitotomy,17 patients(27.42%)had lateral orbitotomy,4 cases(6.45%)had enucleation of orbital contents,2 cases(3.23%)had medial orbitotomy,2 cases(3.23%)had medial and lateral orbitotomy.Conclusion The benign tumors in patients with spongous hemangioma,malignant lymphoma is the most common,CT combined with MRI examination is of important value in orbital tumor diagnosis,surgical approach should be combined with preoperative imaging results to reduce the incidence of postoperative complications and improve the surgical effect.