眼眶病致眼球突出的病因分析

发布时间：2018-03-13 12:18

  本文选题：眼球突出　切入点：眼眶病　出处：《第四军医大学》2010年硕士论文　论文类型：学位论文

【摘要】： 目的:了解引起眼球突出的眼眶病的病因分类及分布状态,并对部分病例的临床特征进行详细分析,以期指导临床诊疗工作。方法:回顾性分析我院自1960年至2008年收治的583例病历资料完整的伴有眼球突出的住院患者的临床资料。对患者的一般资料、病因、临床表现、辅助检查进行回顾分析。其中,一般资料包括性别、年龄、病史长短;临床表现包括症状及体征,如:有无视力下降、复视、眼红、眼痛,有无斜视、眼球突出、眼球运动障碍、上睑下垂、结膜充血、瞳孔散大等;辅助检查包括CT、核磁共振、病理检查等。结果:引起眼球突出的病因可分为5类,即肿瘤(58.32%)、内分泌疾病(21.44%)、炎症性疾病(17.15%)、外伤(2.74%)和遗传及发育性疾病(0.34%)。根据来源可将肿瘤分为眶内起源肿瘤(占72.94%)、副鼻窦肿瘤眶蔓延(18.53%)、造血系统肿瘤(4.12%)、颅脑肿瘤眶蔓延(3.24%)、眼内肿瘤眶蔓延(0.59%)和转移癌(0.59%)。引起眼球突出的常见病因依次为甲状腺相关眼病(21.44%)、海绵状血管瘤(11.15%)、炎性假瘤(10.29%)、良性脑膜瘤(6.52%)、静脉性血管瘤(6.00%)、眶蜂窝织炎(5.32%)、皮样及表皮样囊肿(4.63%)、神经鞘瘤(3.60%)、鳞癌(2.92%)和多形性腺瘤(2.74%)等。引起儿童眼球突出的病因依次为血管瘤、眶蜂窝织炎、皮样及表皮样囊肿、脑膜瘤、炎性假瘤、神经鞘瘤、神经胶质瘤、神经纤维瘤、甲状腺相关性眼病和横纹肌肉瘤等。结论:眼球突出可由各种眼眶病引起,单侧眼球突出病因以肿瘤、内分泌疾病、炎症多见,成人与儿童眼球突出常见病因不同,儿童以血管瘤多见,成人以甲状腺相关眼病多见。
[Abstract]:Objective: to investigate the etiological classification and distribution of orbital diseases which cause exophthalmos, and to analyze the clinical characteristics of some cases in detail. Methods: the clinical data of 583 inpatients with exophthalmos were analyzed retrospectively from 1960 to 2008. The general data, etiology and clinical manifestations of the patients were analyzed. The general data include gender, age, history, symptoms and signs, such as vision loss, diplopia, eye redness, eye pain, strabismus, exophthalmos, etc. Ocular movement disorder, blepharoptosis, conjunctival hyperemia, pupil dilatation, etc. Auxiliary examinations include CTS, MRI, pathological examination, etc. Results: the causes of exophthalmos can be classified into 5 categories. That is, tumor 58.32m, endocrine disease 21.4445, inflammatory disease 17.15, trauma 2.74) and genetic and developmental diseases 0.344.The tumors can be divided into intraorbital origin tumors (72.94%), paranasal sinus tumors (18.53%), hematopoietic system tumors (4.1212%), craniocerebral tumor orbital tumors (72.94%), hematopoietic system tumors (4.1212%), craniocerebral tumor orbital tumors (72.94%), tumors of paranasal sinuses (18.53%), hematopoietic system tumors (4.1212%). The common causes of ophthalmic exophthalmos are thyroid associated ophthalmopathy (21.44), cavernous hemangioma (11.1515), inflammatory pseudotumor (10.29), benign meningioma (6.52), venous angioma (6.00), orbital cellulitis (5.32), dermoid. And epidermoid cysts 4.63%, schwannoma 3.60%, squamous cell carcinoma 2.92% and pleomorphic adenoma 2.74). Orbital cellulitis, dermoid and epidermoid cyst, meningioma, inflammatory pseudotumor, neurilemmoma, glioma, neurofibroma, thyroid associated ophthalmopathy and rhabdomyosarcoma. The common causes of unilateral exophthalmos were tumor, endocrine diseases and inflammation. The common causes were different between adults and children. Hemangioma was more common in children, thyroid associated ophthalmopathy was more common in adults.
【学位授予单位】：第四军医大学
【学位级别】：硕士
【学位授予年份】：2010
【分类号】：R777

【参考文献】

中国期刊全文数据库 前10条

1 韦萍,李晓林;颅内基底节区胶质瘤侵犯海绵窦致眼球突出1例[J];国际眼科杂志;2004年02期

2 刘s，

本文编号：1606376