摘要
目的研究泪囊区占位性病变的临床表现、影像学检查、治疗和病理组织学类型。方法收集2003年4月至2012年11月在天津市眼科医院经组织病理学检查确诊的24例泪囊区占位性病变患者的临床资料和病理组织标本切片，回顾性分析其临床特点、影像学表现、病理类型及治疗方法。结果24例泪囊区占位性病变中，囊肿性病变11例；实体性病变13例，其中恶性肿瘤7例，肉芽肿2例，纤维细胞性肿瘤4例。临床上以泪囊区肿块和泪溢为主要特征，超声及CT检查提示病变范围、形态，最终结果经病理组织标本切片确诊，24例病人治疗均采用手术切除，恶性淋巴瘤术后辅以放疗或化疗。结论泪囊区占位病变种类多样，但其表现的临床症状多相似，可分为囊肿性和实体性占位病变，而实体性占位病变中又以恶性居多，早期易与泪囊炎混淆，影像学检查帮助确定病变的位置和范围，但不能鉴别肿瘤的性质，尤其是恶性肿瘤，确诊病变的类型需要依靠病理组织检查。
Objective To analyze clinical symptoms, imaging findings, treatment and pathology of lacrimal sac lesions. Methods A retrospective study of 24 patients of lacrimal sac lesions in past ten years （2003-2012） was performed to investigate the clinical features, imaging f＇mdings patho- logical classification and treatment. Results Among these 24 cases, there were 11 cystic lesions and 13 solid lesions. Seven cases were malignant tumors, 4 fibrous cell tumor, and 2 granulation tu- mor. The most common sign and symptom were lacrimal sac masses and epiphora. Ultrasound and computed tomography （CT） revealed rang and form of lesions, but pathology was the lrmal diagno- sis. Surgery was performed in all cases. Malignant lymphoma was treated radiotherapy or chemothera- py after surgery. Conclusions Lacrimal sac lesions are varied, but the performance of the clinical symptoms more similar, which can be divided into solid lesions and cystic lesions. The majority of lacrimal sac solid lesions are malignant and easily misdiagnosed as dacryocystitis. Imaging tech- niques show the location of the lesions and scope, but the type of the tumor cannot be identified es- pecially malignant tumor. Pathology has the significant value in the diagnosis of lacrimal sac lesions.
出处
《中国实用眼科杂志》
CSCD
北大核心
2014年第2期231-234,共4页
Chinese Journal of Practical Ophthalmology
关键词
泪囊区占位病变
CT扫描
超声检查
病理
Lacrimal sac lesion
Computed tomography （CT）
Ultrasound
Pathology
