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泪腺上皮性肿瘤的外科治疗探讨
引用本文:肖利华.泪腺上皮性肿瘤的外科治疗探讨[J].眼科研究,2002,20(6):540-542.
作者姓名:肖利华
作者单位:100039,北京,武警总医院,武警部队眼眶病研究所
摘    要: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。

关 键 词:泪腺上皮性肿瘤  治疗  眼眶手术  多形性腺瘤  腺样囊性癌
修稿时间:2002年3月13日

Surgical management for epithelial tumors of lacrimal gland
Xiao Lihua.Surgical management for epithelial tumors of lacrimal gland[J].Chinese Ophthalmic Research,2002,20(6):540-542.
Authors:Xiao Lihua
Institution:Xiao Lihua. Institute of Orbital Disease,Armed Police General Hospital,Beijing 100039
Abstract: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.
Keywords:laorimal gland epithelial tumor orbital surgery pleomorphic adenoma adenoid cystie carcinoma
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