眼眶特发性炎性假瘤放射治疗13例临床观察

目的探讨眼眶放射治疗在眼眶特发性炎性假瘤治疗中的应用、疗效及并发症。方法回顾性分析13例眼眶特发性炎性假瘤在我院接受眼眶放射治疗的患者,均为全身激素治疗效果不佳及不能耐受激素治疗患者。采用直线加速器眼眶外放射治疗。结果全部患者随访2-4年。13例患者放射治疗后有10例不同程度眼睑肿胀结膜水肿减轻,疼痛减轻,眼球运动改善,眼球突出度降低;其中5例患者完全治愈,5例部分治愈。2例无效,1例患眼复发,1例对侧眼又发病。未出现明显并发症。结论低剂量直线加速器眼眶局部放射治疗对活动性难治性眼眶炎性假瘤能有效缓解症状,且安全可靠。

A clinical analysis of 13 cases of idiopathic orbital inflammatory pseudotumor treated with radiation therapy

Objective To observe the application,effectiveness and complication of radiation therapy(RT) of idiopathic orbital pseudotumor.Methods The records of 13 idiopathic orbital inflammatory pseudotumorcases who were treated with RT using linear accelerator were reviewed.they all refractory or intolerant to thecorticosteroids treatment.Result Before and after radiation therapy,10 orbits responded favorably as judgedby decreased lid edema and pain,reduced prptosis and improved ocular movement.5 patients obtain cure,5patients got a partial cure,2 ineffective and one experienced recurrence at one month after RT.Besides onepatient fellow eye onset.No obviously complication occurs.Conclusions We conclude that low dose of RT byusing linear accelerator is a safe and effective way for palliating symptoms of idiopathic orbital inflammatorypseudotumor.