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目的寻找导致眼眶特发性炎性假瘤复发的相关因素。方法回顾分析我院1978年1月到1999年12月有临床随访资料的209例眼眶特发性炎性假瘤,采用logisics回归多因素与单因素统计学方法,比较复发与未复发病例的临床特点。结果随访时间半年到21年(平均3.4年),随访结果示复发率为41%,性别、眼球突出度与复发相关。男性比女性容易复发,男性复发率为52%,女性25%;眼球突出度越重,复发率越高;临床类型中,泪腺型的复发率最低,为17%,弥漫型为最高,达100%,其它类型为前眶占位44%,后眶占位54%,肌炎型75%,但多因素分析显示临床类型与复发相关。年龄、眼别、眼睑或结膜充血、眼部疼痛、病理类型、治疗方法和发病时间等均未显示与复发发生相关。结论男性患者、眼球突出度高的病人易于复发;临床亚型中的弥漫型与肌炎型复发率高,但统计学分析未显示与复发相关。
Objective To find out the related factors leading to the recurrence of orbital idiopathic inflammatory pseudotumor. Methods A total of 209 cases of orbital idiopathic inflammatory pseudotumor with clinical follow-up data from January 1978 to December 1999 in our hospital were retrospectively analyzed. Logisics regression was used to compare the multifactorial and univariate statistical methods to compare the clinical features of recurrent and nonrecurrent cases Features. Results The follow-up time ranged from six months to 21 years (average 3.4 years). The follow-up results showed that the recurrence rate was 41%. Sex and eyeball protrusion were related to recurrence. Male relapsed more easily than females, with a recurrence rate of 52% in males and 25% in females; the more serious the prominence of eyes was, the higher the recurrence rate was. In the clinical types, lacrimal gland had the lowest relapse rate of 17% and the diffuse type was the highest, reaching 100 %, Other types of anterior orbital occupancy 44%, posterior orbital occupancy 54%, myositis 75%, but multivariate analysis showed that the clinical type and relapse. Age, eyelid, eyelid or conjunctival hyperemia, ocular pain, pathological type, treatment and onset time, etc. are not related to the recurrence. Conclusions In male patients, the patients with high prominence of eyes are easy to relapse. The recurrence rate of diffuse and myositis in clinical subtype is high, but the statistical analysis does not show relapse.