单眼突出的CT 诊断 - 放射学实践.PDF

2001 1 16 1 Radiol Practic , Jan 2001,Vol 16,No. 1 27 CT 盛平银 余开湖 = : 回顾性分析47 例单眼突出病变的CT 表现作了, 以期提高对单眼突出病变的诊断认 : 经手 术病理或其他方法证实的47 例单眼突出病例, 男34 例, 女13例, 均行轴位CT 扫描, 其中34 例作了增强扫描, 9 例增加 冠状扫描; 采用Somatom CRF 机层厚和层距均为4mm: 球外眶内病变 28 例, 眶壁/ 眶周病变 19 例, 其中肿瘤20 例炎症15 例血管性病变4 例其它8 例; 眶炎性假瘤表现为眶内局限性或弥漫性肿块, 泪腺肿大, 伴有眼环增厚, 眼肌 增粗其它眶内肿瘤表现为眶内软组织肿块病灶发现率为100% : CT 对大部分单眼突出病因可以确诊 = 单眼突出 断层摄影, X 线计算机 = R771, R814. 42 = A = 1000-0313( 2001) 01-0027-03 CT diagnosis of unilateral exophthalmos Sh ng Pingyin, Yu Kaihu. CT S ction of Xianning C ntral Hospital, Hub i 437100 = Abstract Objective:CT findings of unilat ral xophthalmos in 47 pati nts w r r trosp ctiv ly analyz d to improv th und r- standing of th dis as . Methods:47 cas s of unilat ral xophthalmos prov d by pathology or oth r modaliti s w r p rform d axial plain CT scanning with Somatom CRF s ts. 34 cas s of 47 und rw nt nhanc d CT scanning and 9 did additional coronal s ction. Thos pa- ti nts includ d mal 34 and f mal 13. Results:With total 47 cas s, th r w r 28 cas s of xtrabulbar intraorbital l sions, and 19 cas s of orbital or p riorbital l sions. Th r w r tumors in 21 cas s, inflammations in 15 cas s, vascular dis as s in 4 cas s and misc lla- n ousn ss in 8 cas s. Orbital ps udotumor show d an orbital local or diffus mass, nlarg m nt of lacrimal gland and ocular muscl s as w ll as thick ning of th y ring.Th oth r orbital tumors app ar d as a soft tissu mass.Th d t ction rat of l sion was 100% . Con- clusion:Th d finit diagnosis of most unilat ral xophthalmos can b mad bas d on CT findings. = Key ords Unilat ral xophthalmos Tomography, X-ray comput d , , CT , , 28 ( 53. 9%) , / 47 , 19 ( 36. 5%) , CT CT