目的:探讨特发性眶内炎性假瘤药物联合手术治疗的远期效果。方法:回顾分析1986/2006年88例92眼住院患者,其中药物联合手术治疗的患者68例80眼,单纯药物治疗的患者20例,随访时间1～14(平均4.4)a。结果:患者88例中,男50例,女38例,右眼51例,左眼33例,双眼4例,年龄2.5～80(平均31.4)岁。其主要临床表现和体征有:眼球突出76例,前部眶间隙可触到肿块64例,眼睑浮肿伴眼部疼痛34例,眼球运动受限伴复视33例,眼外肌肥厚23例。其它:视神经增粗,脂肪垫水肿,眼环增厚等表现共27例,有68例经药物+手术+药物联合治疗。余20例单纯药物治疗,经随访完全治愈43例,部分治愈34例,复发11例,有效率88%。结论:表现有眶内实性包块的眶内炎性假瘤,采取药物联合手术方法综合治疗可明显提高此病的治愈率。

·AIM:To explore the long period effect of medicine joint operation treatment on idiopathic orbital inflammtory pseudotumor(IOIP).·METHODS:Eighty-eight cases 92 eyes admitted to our hospital from 1986 to 2006 were reviewed and analyzed,of which 68 cases 80 eyes were treated by medicine joint operation treatment,20 cases were treated by medicine.The follow-up ranged from one year to 14 years,with an average of 4.4 years.·RESULTS:In the 88 cases,50 cases were male,38 cases were female,right eye 51 cases,left eye 33 cases and double eyes 4 cases.The age ranged from 2.5 years to 80 years,with an average of 31.4 years old.The main clinical manifestation and physical sign included exophthalmos of 76 cases,front eye socket clearance touchable lumps of 64 cases,eyelid edema and eye socket pain of 34 cases,eye movement limitation and diplopia of 33 cases,extraocular muscles incrassation of 23 cases.The others were 27 cases of optic nerve thickening,fat pad edema,eye splice inscrassation and so on.There were 68 caeses cured by medicine,operation,and medicine joint treatment.The others were cured by pure medicine treatment.The cured cases were 43 through follow-up visit.The partly cured cases were 34.The relapse cases were 11.The effective rate was 88 percent.·CONCLUSION:The clinical manifestation of orbital inflammatory pseudotumor is solid massess.Its cure rate can be improved obviously through medicine,joint operation and comprehensive treatment.·

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