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1、医学影像学杂志2011年第21卷第6期JMedImagingVol.21No.62011CT、MRI在眼眶炎性假瘤的诊断价值12223王昭强,渐南,韩永健,唐言,毕万利(1.山东省荣成市第二人民医院放射科山东荣成264309;2.山东大学医学院研究生山东济南250012;3.山东省医学影像学研究所山东济南250021)=摘要>目的:探讨CT和MRI对眼眶炎性假瘤的诊断和鉴别诊断价值。方法:回顾性分析经临床、病理证实的63例眼眶炎性假瘤的影像学表现。结果:根据病变累及部位及形态学表现分为:¹隔前型2例,表现为眼睑肿胀;º巩膜周围炎型1例,表
2、现为眼球壁增厚;»视神经束膜炎型3例,表现为视神经增粗;¼弥漫型10例,病变可同时累及眶隔前组织、眼肌、视神经、眼环、泪腺、眶内脂肪或眶周组织;½肿块型12例,表现为边界清楚的肿块;¾泪腺炎型9例,表现为泪腺肿大;¿肌炎型26例,表现为1条或数条眼外肌增粗、肥大。结论:CT和MRI能对眼眶炎性假瘤确切定位及分型,为临床治疗方案提供重要依据,二者的结合极大地提高了眼眶炎性假瘤的正确诊断率。=关键词>眼眶;炎性假瘤;体层摄影术,X线计算机;磁共振成像中图分类号:R739.7;R814.42文献标识码:A文章编号:1006-9011(2011)
3、06-0832-03ThediagnosticvalueofCTandMRIinorbitalinflammatorypseudotumorWANGZhao-qiang1,JIANNan2,HANYong-jian2,TANGYan2,BIWan-li31.TheSecondPeople'sHospitalofRongchengCity,Rongcheng2643092,P.R.China2.GraduateSchoolofMedicine,ShandongUniversity,Jinan250012,P.R.China3.Shandon
4、gMedicalImagingResearchInstitute,Jinan250021,P.R.China=Abstract>Objective:ToevaluatetheCTandMRIforthediagnosisanddifferentialdiagnosisoforbitalinflammatorypseudotumor.Methods:Toretrospectivelystudytheimagingfindingsoforbitalinflammatorypseudotumorin63cases(CT63cases,MRI29
5、cases)confirmedbytheclinicalandpathology.Results:Accordingtothesiteoflesionsandmorpholog-icalfeatures,theformercompartmentisdividedinto¹thetypeofbeforetheintervalin2casesshowedswellingoftheeyelids;ºthetypeofinflammationaroundsclerain1case,expressedasthewallofeyesthickenin
6、g;»thetypeofopticperineuritisin3cases,showedopticnerveenlargement;¼thetypeofdiffusionin10cases,showedlesionsbothinvadedtheorganizationbeforeorbitalseptumatthesametimetheophthalmoplegia,theopticnerve,theeyering,thelacrimalgland,andtheorbitalfatororbitaltissues;½thetypeofma
7、ssin12cases,showedclearboundary;¾thetypeoflacr-imalglandinflammationin9cases,showedlacrimalglandenlargement;¿thetypeofmyositisin26casesshowedoneorseveralextraocularmusclesenlargementandhypertrophy.Conclusion:CTandMRIcanexactlylocatetheorbitalinflamma-torypseudotumorandmak
8、eitsclassificationasanimportantbasisforclinicaltreatmentprograms,andthecombinationofbothcangreat
