泪腺区占位性病变65例临床分析

目的探讨近10年来住院治疗的泪腺区占位性病变的类型、临床特点和治疗方法。方法对65例（74眼）泪腺区占位性病变进行回顾分析。结果65例（74眼）中男29例（32眼）,女36例（42眼）。年龄13～76岁,平均39岁。右眼31例,左眼25例,双眼9例。所有患眼泪腺区均可触及占位性病变,均经CT或B超检查证实。除2例（4眼）双眼泪腺炎型炎性假瘤患者接受药物治疗治疗外,余均经手术治疗。其中泪腺炎型炎性假瘤28例（30眼）,泪腺多形性腺瘤27例（27眼）（其中包括1例（1眼）复发病例）,泪腺腺样囊性癌3例（3眼）,泪腺腺癌2例（2眼）,泪腺恶性多形性腺瘤2例（2眼）,泪腺导管囊肿1例（1眼）。经眉弓外侧切口手术60例（62眼）,结膜切口1例（1眼）,眶内容摘除2例（2眼）。所有手术患眼术后均经病理检查结果证实诊断。结论因泪腺区占位性病变入院治疗者以泪腺炎型炎性假瘤及泪腺多形性腺瘤多见。泪腺区占位性病变绝大多数手术切口选取经眉弓外侧切口。

Clinical analysis of 65 cases of the occupying diseases in lacrimal place

Objective This article focus on the research of types, clinic characteristic and treatment of the occupying diseases in lacrimal place during recent 10 years in my hospital. Methods Retrospectively reviewed 65 cases of occupying diseases in lacrimal place during recent 10 years in my hospital. Results In all 65 cases（74eyes） , 29 cases（32 eyes） were male and 36 cases （42 eyes） were female. The range of patients＇ age varies from 13 to 76 with the average of 39. There were 31 cases in right eye, 25 cases in left eye , and 9 cases in double eyes. All patients had the touchable occupying diseases in lacrimal place which were diagnosed by CT or B ultrasound. All patients had been treated by surgical operations, except for two cases of inflammatory pseudotumor treated by medicine. There were 28 cases （30 eyes） of inflammatory pseudotumor, and 27 cases of mixed tumor of lacrimal gland, including recurrent 1 case, adenoid cystic carcinoma of lacrimal gland 3 cases, lacrimal gland 2 cases, and benign tumour of lacrimal gland catheter 1 case. There were 60 cases （62eyes）treated by cutting through skin of superciliary arch, 1 case by cutting conjunctival and 2 cases by evisceration. All patients, except for 2 cases of treatment （4 eyes）, had been diagnosed by pathologic examination. Conclusion The majority of occupying diseases in lacrimal place is inflammatory pseudotumor and mixed tumor of lacrimal gland, and there are a few cases are malignant. The occupying diseases in lacrimal place are usually treated by cutting through skin of superciliary arch, expect for two evisceration cases, verified as adenocarcinoma of the lacrimal gland after operation.