摘要
目的:报道原发性结膜下眶脂肪脱垂症临床特征及结膜切口,Tenon氏囊修复治疗原发性结膜下眶脂肪脱垂的治疗效果。方法:搜集自2006年至2011年10月经临床诊治9例15眼原发性结膜下眶脂肪脱垂症,其中男6例,女3例,平均年龄66.3岁,否认外伤或其他相关病史。根据患者年龄、病史、临床症状、体征及CT检查确诊。手术行脂肪脱垂处球结膜切口,切除脱垂脂肪组织,修补Tenon’s囊并固定于巩膜浅层。切除组织送病理学检查。结果:根据病史、体征、影像学等临床资料均符合眶内脂肪脱垂之特征。切除组织送检均为成熟脂肪组织。随诊1年以上无复发。结论:原发性结膜下眶脂肪脱垂诊断需结合临床表现及影像学检查综合考虑。球结膜切口,Tenon’s囊修复手术效果良好。
Objective： To discuss clnical features and report the conjunctiva incision and restoring Tenon＇s capsule in spontaneous subconjunctival orbital fat prolapse. Methods： 9 patients （15 eyes in 6 males and 3 females）with spontaneous subconjunctival orbital fat prolapse were retrospectively analyzed, whose average age was 66.3 years. All the patients had no trauma or surgery history. Diagnose was made according to the medical history, clinical symptom, physical sign, and CT imaging. During the surgery, conjunctival incision was made upon the fat mass, then resected the herniated fat, and restore the Tenon＇s capsule to episclera. The resected tissue was made pathological test. Results： the resected tissues were all maturated adipose tissue. There was no recurrence within more than 1 year follow up, Conclusion：To diagnose spontaneous subconjunctival orbital fat prolapse, clinical manifestation and imaging examination were important. Trans-conjunctival surgical approach, herniated fat resection and Tenon？s capsule repair brought fine effect.
出处
《甘肃医药》
2013年第3期182-184,共3页
Gansu Medical Journal
关键词
原发性结膜下眶脂肪脱垂
诊断
手术
spontaneous subconjunctival orbital fat prolapse
diagnose
surgery
