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为探讨泪腺导管囊肿的临床特征、发病机制、诊断、鉴别诊断及治疗原则,本文对我院1977～1998年6例泪腺导管囊肿进行分析。结果:睑部泪腺导管囊肿为最常见类型,表现为上睑肿胀,于上穹窿结膜处可见光滑紫蓝色肿物,可透光。B超及CT均显示为囊性占位病变。双层细胞构成的囊壁为组织学诊断要点。完整切除囊壁为彻底治愈手段。结论:泪腺导管囊肿最理想的治疗方法是完全切除囊肿,最终诊断依据组织病理学检查。
In order to explore the clinical features, pathogenesis, diagnosis, differential diagnosis and treatment of lacrimal duct cyst, we analyzed six cases of lacrimal duct cyst from 1977 to 1998 in our hospital. Results: The most common type of eyelid duct lacrimal duct cyst showed the swelling of the upper eyelid, visible on the fornix conjunctiva with a smooth purple-blue mass that was permeable to light. B ultrasound and CT showed cystic lesions. Bilayer cells constitute the wall for histological diagnosis. Complete removal of the wall for the complete cure. Conclusion: The best treatment for lacrimal duct cyst is complete cyst removal, and the final diagnosis is based on histopathological examination.