论文部分内容阅读
目的通过分析总结眼眶炎性假瘤临床和影像学特点,提高该病诊断水平。方法经手术病理或临床治疗观察确诊的眼眶炎性假瘤42例,回顾分析其临床及CT、MRI表现。结果42例中,以突眼(占73.8%)及眼球运动障碍(占52.4%)为主要表现,其次为眼缘触及肿块(占40.5%);其中单眼发病33例,双侧发病9例。CT分型浅层巩膜型2例,浸润型4例,肿块型13例,肌炎型11例,泪腺型12例;MRI检查11例,其分型及表现基本同CT扫描。结论CT、MRI能明确眼眶炎性假瘤的部位及侵犯范围,其分型为临床确定治疗方案提供重要依据。
Objective To analyze and summarize the clinical and imaging features of orbital inflammatory pseudotumor to improve the diagnosis of this disease. Methods Forty-two patients with orbital inflammatory pseudotumor diagnosed by operation and pathology or clinical treatment were retrospectively analyzed. The clinical, CT and MRI findings were retrospectively analyzed. Results Out of the 42 cases, the exophthalmos (accounting for 73.8%) and oculomotor disorders (52.4%) were the main features, followed by the ophthalmic touch (40.5%). Among them, 33 cases were monocular and 9 cases were bilateral. There were 2 cases of superficial sclera in CT classification, 4 cases of infiltration, 13 cases of mass, 11 cases of myositis and 12 cases of lacrimal gland. MRI was performed in 11 cases. Conclusion CT and MRI can confirm the location of the orbital inflammatory pseudotumor and the scope of its invasion, and its classification provides an important basis for the clinical treatment plan.