眼眶良性淋巴上皮病变泪液分泌功能研究

目的 探讨眼眶良性淋巴上皮病变的泪液分泌功能变化情况.方法 对10例眼眶良性淋巴上皮病变患者的两眼术前术后泪液分泌功能变化进行1:1配对比较分析.结果 治疗1个月后,非手术眼反射性泪液分泌较手术眼及治疗前均有显著性增多差异有统计学意义(P＜0.05),手术眼反射性泪液分泌同治疗前相比差异无统计学意义(P＞0.05).结论 眼眶良性淋巴上皮病变对糖皮质激素治疗敏感,治疗后泪腺仍然可以恢复部分泪液分泌功能,手术时不宜切除过多的肿大泪腺.

Lacrimal secretion changes of benign lymphoepithelial lesion in the orbit before and after treatment

Objective To assess the lacrimal secretion changes of benign lymphocpithelial lesion (BLEL)in the orbit.Methods Schirmer's tests were performed on 10 patients prior to and after surgery,and the paired Student's t-test was used in this study.Results At 1 month after treatment,non-surgical eyes have more quantity of reflex lacrimal secretion than that of surgical eyes and non-surgical eyes themselves before being treated,surgical eyes have no more quantity of lacrimal secretion than that of themselves without being treated.Conclusions At surgery,the lacrimal gland mass shoud not be completely removed,for glucocorticoids is very effective to BLEL and these lacrimal glands still remain part of secreting function after therapy.