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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。
Objective To investigate the types, clinical features and treatment of occupying lesions in lacrimal gland in the past 10 years. Methods 65 cases (74 eyes) of lacrimal gland mass lesions were retrospectively analyzed. Results Of the 65 cases (74 eyes), 29 were male (32 eyes) and 36 were female (42 eyes). Aged 13 to 76 years old, average 39 years old. There were 31 cases of right eye, 25 cases of left eye and 9 eyes of both eyes. All suffering from tear gland area may reach the mass lesions, confirmed by CT or B-ultrasound. In addition to 2 cases (4 eyes) of double tears dacryoadenitis inflammatory pseudotumor patients receiving medical treatment, Yu were surgically treated. Among them, 28 cases (30 eyes) of lacrimal gland inflammatory pseudotumor, 27 cases (27 eyes) of lacrimal gland pleomorphic adenoma (including 1 case of recurrence), 3 cases of lacrimal adenoid cystic carcinoma ), 2 cases of lacrimal gland adenocarcinoma (2 eyes), 2 cases of malignant pleomorphic adenoma of lacrimal gland (2 eyes) and 1 case of lacrimal duct cyst (1 case). Sixty cases (62 eyes) underwent lateral incision of the eyebrow, one case of conjunctival incision (1 case) and two cases (2 cases) of orbital content removal. All surgical eyes were confirmed by pathological examination results after surgery. Conclusions The patients admitted to hospital for lacrimal gland mass occupying lesions were more common in lacrimal gland inflammatory pseudotumor and lacrimal gland pleomorphic adenoma. Lacrimal gland lesions accounted for the vast majority of surgical incision selected by the lateral bow cut.