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目的 了解儿童眼眶占位病变的病种分类、疾病构成特征和分布情况。设计 回顾性病例系列研究。研究对象 1999年7月至2004年12月经我研究所确诊为眼眶占位病变的294例儿童患者病例资料。方法 按照Shields分类方法,统计 每类疾病中的病种和例数。统计良、恶性病变的比例。按年龄阶段分组,统计不同年龄阶段最常见的良、恶性病变。主要指标 病理诊断或临床诊断结果。 结果 儿童眼眶占位病变可大致分为13类,以血管性、囊性和周围神经病变最常见。良性病变占 88．1％,恶性肿瘤占11．9％。在0-4岁、5-9岁和10-14岁三个不同年龄阶段,毛细血管瘤、脉管瘤和静脉性血管瘤分别为最常见良 性病变;横纹肌肉瘤在各年龄阶段均是最常见恶性肿瘤。结论 儿童眼眶占位病变以良性为主,以血管性、囊性和周围神经病变 多见。
Objective To understand the classification of diseases caused by orbital occupying lesions in children and the characteristics and distribution of diseases. Design retrospective case series. The data of 294 pediatric patients diagnosed as orbital occupying lesions from July 1999 to December 2004 were studied. Methods According to the Shields classification method, the number of diseases and the number of cases in each type of disease were counted. Statistics of benign and malignant lesions ratio. Group by age, statistics of the most common stages of different benign and malignant lesions. The main indicators of pathological diagnosis or clinical diagnosis. Results Orbital lesions in children can be broadly divided into 13 categories, the most common vascular, cystic and peripheral neuropathy. Benign lesions accounted for 88.1%, malignant tumors accounted for 11.9%. Capillary angiomas, hemangiomas and venous hemangiomas are the most common benign lesions at 0-4, 5-9 and 10-14 years of age respectively; rhabdomyosarcoma is the most common in all age groups Malignant tumor. Conclusion Orbital occupying lesions in children with benign, vascular, cystic and peripheral neuropathy more common.