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目的 :评价眼眶炎性假瘤的诊断方法与治疗效果。方法 :分析 6 2例眼眶炎性假瘤的影象学检查特点、组织病理学分型、治疗方式及其效果。结果 :1手术切除联合皮质类固醇治疗组的复发率 19%低于单纯皮质类固醇治疗组的复发率 35 .3% (P<0 .0 5 ) ;2纤维组织增生型假瘤的复发率 16 .7%低于弥漫性淋巴细胞浸润型假瘤的复发率 (32 .3% ) (P<0 .0 5 )。结论 :手术切除联合口服皮质类固醇是治疗眼眶炎性假瘤比较有效的方法。
Objective: To evaluate the diagnosis and treatment of orbital inflammatory pseudotumor. Methods: Sixty-two cases of orbital inflammatory pseudotumor were analyzed by imaging examination, histopathological classification, treatment modality and effect. Results: The recurrence rate of surgical resection combined with corticosteroid treatment group was 19% lower than that of simple corticosteroid treatment group (35.3%, P <0.05). The recurrence rate of fibroepithelioma type 2 was 16. 7% lower than the recurrence rate of diffuse lymphocytic pseudotumor (32.3%) (P <0.05). CONCLUSIONS: Surgical resection combined with oral corticosteroids is a more effective treatment for orbital inflammatory pseudotumor.