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目的 探讨眼眶非何杰金淋巴瘤 (non Hodgkinmalig nantlymphoma ,NHL)的早期诊断、常见误诊原因和早期手术的观点。方法 通过复习文献和结合 3例眼眶NHL临床资料进行分析。结果 眼眶NHL起病较急 ,可表现为眼眶前段软组织炎症或炎性假瘤 ,B超和CT检查也易误诊为炎症 ,且用抗生素和糖皮质激素治疗症状可缓解而延误治疗。结论 眼眶NHL早期可表现为炎症 ,如用足量、强力的广谱抗生素和糖皮质激素治疗 3至 5天无明显效果 ,应早作活检。病变局限者早期手术值得探讨
Objective To investigate the early diagnosis of orbital non-Hodgkin lymph nephroblastoma (NHL), common misdiagnosis reasons, and early surgery. Methods Review the literature and combine 3 cases of eyelid NHL clinical data. Results Orbital NHL onset was acute and may be manifested as anterior soft tissue inflammation or inflammatory pseudotumor. B-ultrasonography and CT examination are also often misdiagnosed as inflammation. Treatment with antibiotics and glucocorticoids can relieve symptoms and delay treatment. Conclusion Early NHL of the eyelid can be expressed as inflammation. For example, if a sufficient amount of powerful broad-spectrum antibiotics and glucocorticoids are used for 3 to 5 days without significant effect, early biopsy should be performed. It is worth investigating early surgery for lesion limitation.