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[摘要]
目的：探讨儿童眼眶占位性病变的病理组织学分类及发病情况，为儿童眼眶占位性病变的诊断提供参考。
方法：回顾性分析天津医科大学第二医院1998-01/2012-12收治并经病理学证实的儿童眼眶占位性病变290例病例资料。
结果：选取的290例儿童眼眶占位性病变中以静脉性血管瘤最为常见，共58例(20.0%)，其它常见病变依次为血管淋巴管瘤、皮样囊肿、神经纤维瘤、视神经胶质瘤、横纹肌肉瘤等。毛细血管瘤、静脉性血管瘤、视神经胶质瘤等有明显年龄倾向； 视神经胶质瘤、静脉性血管瘤、横纹肌肉瘤等有明显性别倾向。
结论：儿童眼眶占位性病变以先天性和胚胎性为主，其中以静脉性血管瘤最为多见，某些病变具有明显的年龄及性别倾向。
[Key word]
[Abstract]
AIM: To explore the histopathological classification and incidence of orbital space-occupying lesions in children in order to provide references for the diagnosis of orbital space-occupying lesions in children.
METHODS: A total of 290 paediatric patients with orbital space-occupying lesions diagnosed by pathological examinations at the Second Hospital of Tianjin Medical University from January 1998 to December 2012 were retrospectively reviewed.
RESULTS: In 290 paediatric patients with orbital space-occupying lesions, venous hemangioma was the most common(58 cases,20.0%), the other commons were as follows: hemangio lymphangioma, dermid cyst, neurofibroma, optic nerve glioma, rhabdomyo sarcoma and so on. Capillary hemangioma, venous hemangioma, optic nerve glioma had the predominant age incidence. On the other hand, optic nerve glioma, venous hemangioma, rhabdomyosarcoma had the predominant sex incidence.
CONCLUSION: The majority of paediatric patients with orbital space-occupying lesions are congenital and embryonic lesions, the most common of which is venous hemangioma. Some lesions had the predominant age and sex incidence.
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