眶内特发性炎性假瘤并鼻窦炎36例

目的 :探讨眼眶特发性炎性假瘤并鼻窦炎的临床特征以及二者的关系。方法 :回顾分析 2 0 9例眼眶特发性炎性假瘤患者的临床资料 ,其中 36例同时患有鼻窦炎 ,发生率为 17.2 %。临床以眼球突出、眼球运动障碍、眼睑或结膜水肿充血、视力下降和眶缘可触及肿物为主要表现。超声或CT及MRI等均示眶内占位性病变。2 7例接受手术部分切除炎性肿物后用全身皮质激素治疗 ,9例应用全身激素治疗。结果 :2 0 9例中治愈 12例 ,部分治愈 18例 ,6例复发。结论 :部分眼眶特发性炎性假瘤发病可能与鼻窦炎有关

36 case Idiopathic orbital inflammatory pseudotumor with sinus involvement

Objective:To study the incidence of sinusitis in patients with idiopathic orbital inflammatory pseudotumor(IOIP) and the relationship between sinusitis and IOIP.Method: 209 IOIP cases from Jan 1, 1978 to Dec 31, 1999 in Eye Hospital, Zhongshan Ophthalmic Center, Sun Yat Sen University of Medical Sciences were reviewed. Data showed that 36 of 209 IOIP cases suffered from sinusitis including 21 cases of maxillary sinusitis, 15 case of ethmoid sinusitis, 3 case of frontal sinusitis and 3 case of sphenoid sinusitis. The total incidence of sinusitis is 17.2 %. Proptosis, restrictive movement of the involved eye, eyelid or conjunctive congestion, decreased eyesight and palpable orbital masses were the main clinical findings. All patients showed a space occupied lesion in their orbits. 27 patients received combined surgical management and corticosteroids treatment. 9 patients received systemic corticosteroids treatment.Result: Therapy showed that the full recovery response rate was 33.3 % (12/36) and the partial recovery response was 50.0 % (18/36). The reoccurrence rate was 16.7% (6/36).Conclusion: Some patients suffered from sinusitis and sinusitis may be a cause in the etiology of IOIP.