泪腺上皮性肿瘤的外科治疗探讨

目的 探讨泪腺上皮性肿瘤的现代治疗方法。方法 对34例泪腺上皮性肿瘤进行分析。其中20例泪腺良性多形性腺瘤（复发性7例），11例腺样囊性癌（复发性９例），２例恶性多形性腺瘤（复发性2例）和1例黏液表皮癌。结果 前路开眶15例，改良外侧开眶15例，眶内容摘除术2例，内侧开眶1例，术后放射治疗17例（恶性14例，良性3例），随访28例，时间半年至1.5年，良性肿瘤16例均无复发，恶性肿瘤12例中2例复发。结论 泪腺上皮性肿瘤是常见的眶内肿瘤，复发率较高。改良外侧开眶是切除泪腺上皮性肿瘤最好的方法。

Surgical management for epithelial tumors of lacrimal gland

Objective To discuss the modern surgical management for epithelial tumors of lacrimal gland. Methods Thirty-four cases with epithelial tumors of lacrimal gland were analyzed,in which included benign pleomorphie adenoma 20 cases, adenoid cystic carcinoma 11 cases .malignant pleomorphie adenoma 2 cases, and mucoepidermoid carcinoma 1 case. Results Anterior orbitotomy was performed on 15 cases, modified lateral orhitotomy in 16 cases, exenteration in 2 cases and medial orbitotomy in 1 case. 28 cases were followed-up.out of which 16 cases with benign tumor were of no recurrence during follow-up while 2 cases of malignant tumors recurrented. Conclusion The epithelial tumor of lacrimal gland is a common orbital tumor. Its recurrence rate is high. Modified lateral orhitotomy is a better approach for epithelial tumors of lacrimal gland.