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非炎症性眼睑水肿诊断的临床思路——附双眼眶炎性假瘤1例
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Abstract:
眼眶炎性假瘤(Orbital inflammatory pseudotumor, OIP)是一种常见的眼眶疾病，病因病机尚未明确。OIP可累计眼眶各个部位，其临床表现多种多样，不具有特异性，需要依据临床、实验室及影像学检查进行排除性诊断。现报道一例双眼眶炎性假瘤患者及其诊疗过程，以期为同道临床诊治提供思路及参考。
Orbital inflammatory pseudotumor (OIP) is a commonly encountered orbital disease, although its etiology and pathogenesis remain unclear. OIP can affect various parts of the orbit and presents with diverse clinical manifestations that lack specificity, necessitating a differential diagnosis based on clinical, laboratory, and imaging examinations. Here, we present a case of bilateral orbital inflammatory pseudotumor and discuss the diagnostic and therapeutic process, aiming to provide insights and references for fellow clinicians in their clinical practice.
| [1] | 杨华胜, 张特, 叶慧菁. 基于影像学分类的眼眶炎性假瘤诊疗方法选择[J]. 中华眼科杂志, 2023, 59(1): 8-12. https://doi.org/10.3760/cma.j.cn112142-20220511-00239 |
| [2] | Swamy, B.N., McCluskey, P., Nemet, A., et al. (2007) Idiopathic Orbital Inflammatory Syndrome: Clinical Features and Treatment Outcomes. British Journal of Ophthalmology, 91, 1667-1670. https://doi.org/10.1136/bjo.2007.124156 |
| [3] | 颜建华, 吴中耀, 李永平, 等. 209例眼眶特发性炎性假瘤的临床分析[J]. 中国实用眼科杂志, 2002, 20(1): 43-46. |
| [4] | Chirapapaisan, N., Chuenkongkaew, W., Pornpanich, K. and Vangveeravong, S. (2007) Orbital Pseudotumor: Clinical Features and Outcomes. Asian Pacific Journal of Allergy and Immunology, 25, 215-218. |
| [5] | Bijlsma, W.R., Paridaens, D. and Kalmann, R. (2011) Treatment of Severe Idiopathic Orbital Inflammation with Intravenous Methylprednisolone. The British Journal of Ophthalmology, 95, 1068-1071. https://doi.org/10.1136/bjo.2010.195552 |
| [6] | Yuen, S.J.A. and Rubin, P.A.D. (2003) Idiopathic Orbital Inflammation: Distribution, Clinical Features, and Treatment Outcome. Archives of Ophthalmology, 121, 491-499. https://doi.org/10.1001/archopht.121.4.491 |
| [7] | 周灵丽, 张秀英, 陈静, 李萌, 李田园, 仝其哲, 王毅. 甲状腺相关性眼病临床特征分析[J]. 临床内科杂志, 2023, 40(2): 100-102. |
| [8] | 罗俊婷. 甲状腺相关性眼病临床特征分析[D]: [硕士学位论文]. 南京: 南京中医药大学, 2019. |
| [9] | 叶慧芬, 王广谊, 刘恩涛, 等. 眼眶淋巴瘤多模态影像分析[J]. 放射学实践, 2022, 37(11): 1353-1358. https://doi.org/10.13609/j.cnki.1000-0313.2022.11.004 |
| [10] | 魏苗, 陈辉, 王君慧, 等. 双眼原发性眼附属器套细胞淋巴瘤眼内浸润1例[J]. 中华眼科杂志, 2023, 59(1): 52-56. https://doi.org/10.3760/cma.j.cn112142-20220518-00251 |
| [11] | 马刚, 郭佩琦, 崔煜艳, 等. 常规超声和超声造影鉴别诊断眼眶淋巴瘤与炎性假瘤[J]. 中国医学影像技术, 2021, 37(7): 998-1001. https://doi.org/10.13929/j.issn.1003-3289.2021.07.008 |
| [12] | 王宇喆, 王鹏, 唐作华, 等. 双能量CT在鉴别眼眶炎性假瘤和MALT淋巴瘤中的应用初探[J]. 中国医学计算机成像杂志, 2021, 27(6): 495-499. https://doi.org/10.19627/j.cnki.cn31-1700/th.20210630.001 |
| [13] | 泮旭铭, 田萍, 祝跃明, 等. 原发性眼眶淋巴瘤的CT表现特点[J]. 实用医学杂志, 2010, 26(7): 1209-1210. |
| [14] | 张蕾, 杨全新, 王建明, 等. 眼眶淋巴瘤的CT和MR影像特点[J]. 现代肿瘤医学, 2019, 27(19): 3495-3499. |
| [15] | 程金伟, 魏锐利. 眼外肌肥大的病因诊断和鉴别诊断[J]. 中国实用眼科杂志, 2003, 21(12): 884-886. |
| [16] | 罗叶芳, 何为民. 首诊于眼科的颈动脉海绵窦瘘36例临床分析[J]. 临床眼科杂志, 2022, 30(3): 225-229. |
| [17] | Rico, M., Díaz-López, J.B., Pe？a, J. and Oliva-Nacarino, P. (2016) Latent Orbital Pseudotumor Secondary to Systemic Lupus Erythematosus. Clinical Case Reports, 4, 1065-1067. https://doi.org/10.1002/ccr3.697 |
| [18] | Ben Salah, R., et al. (2023) Orbital Inflammatory Pseudotumor Revealing Multi-Organ Immunoglobulin G4-Related Disease. International Journal of Rheumatic Diseases, 26, 531-534. https://doi.org/10.1111/1756-185X.14521 |
| [19] | 李海燕, 王道芸, 黄莉. 眼眶炎性假瘤多层螺旋CT、磁共振影像学表现及诊断价值研究[J]. 中国CT和MRI杂志, 2021, 19(10): 22-24. |
| [20] | Derakhshandeh, R., et al. (2021) Single Institutional Experience on Orbital Inflammatory Pseudotumor: Diagnostic and Management Challenge. Balkan Medical Journal, 38, 239-243. https://doi.org/10.5152/balkanmedj.2021.21187 |
| [21] | 张虹, 宋国祥, 何彦津. 眼眶炎性假瘤271例临床分析[J]. 中华眼科杂志, 2002, 38(8): 39-42, 70. |
| [22] | 翟孟凡, 谢立科, 郝晓凤, 等. 眼眶炎性假瘤的中西医诊治进展[J]. 中国中医眼科杂志, 2023, 33(6): 574-577. https://doi.org/10.13444/j.cnki.zgzyykzz.2023.06.017 |
| [23] | 张瑶, 陈文卫, 黄鑫, 等. 应用SonoLiver定量分析评价超声造影对眼眶淋巴瘤和炎性假瘤的鉴别诊断价值[J].中国超声医学杂志, 2018, 34(12): 1057-1060. |
| [24] | 胡建群, 叶新华, 王亚丽, 等. 眼眶淋巴瘤和炎性假瘤彩色多普勒超声的鉴别诊断[J]. 中国超声医学杂志, 2011, 27(6): 560-562. |
