眼眶瘘管的特点及治疗分析

目的 探讨不同病因眼眶瘘管的特点及治疗方法.方法 回顾性分析1980年1月至2007年7月就诊的眼眶瘘管患者37例.结果 37例中异物引发的21例.眼眶囊肿引发的9例.眼眶感染性炎症引发的6例.嗜酸性肉芽肿1例,如瘘管可排出脓液、豆渣样物及澄清液体,分别提示感染性炎症、皮样囊肿及非感染性因素.结论 眼眶瘘管形成的常见原因是异物存留、皮样囊肿(包括表皮样囊肿)和骨髓炎.

The Features and Treatment Analysis of Orbital Fistula

Objective To present some instruction in therapy of the orbital fistula by analyze the etiologies,features and treatment.Method The clinical data for 37 cases with orbital fistula treated during 1980 to 2007 were analyzed retrospectively.Results Among 37 cases with orbital fistula,there are 21 cases caused by foreign bodies,including 17 cases by wooden bodies,3 cases by iatrogenic foreign bodies and 1 case by firecrackers.There are 9 cases caused by orbital cysts,including 5 cases dermoid cysts,3 cases epidermoid cysts and 1 case frontal mucopyocele.There are 6 cases orbital infection inflammation,including 5 cases osteomyelitis and 1 case orbital abscess.There is 1 case eosinophilic granuloma.For treatment,anti-infection treatment,ophthalmic surgery or em surgery should be chosen according to different etiology.Conclusions The common etiologies of orbital fistula are foreign body residue, dermoid cysts and osteomyelitis.The fistula caused by different etiologies has its own characteristic features.In order to be cured thoroughly,patients with orbital fistula should be performed different treatments according to different causes.