摘要
目的 分析眼眶炎性假瘤的临床特征及影像学检查在眼眶炎性假瘤的诊断和鉴别诊断中的价值 ,以及各种治疗方法效果的比较。方法 对眼眶炎性假瘤患者 2 71例 (30 3只眼 )进行回顾性分析。结果 根据眼眶肿物组织学特征的不同 ,其超声和CT扫描检查具有多样的表现。弥漫性淋巴细胞浸润型炎性假瘤 :B超检查显示眶内肿物为低回声、透声性强的占位性病变 ;纤维增生型炎性假瘤 :B超检查显示眼眶内低回声、透声性差、边界不清的肿物 ;CT扫描可见肿物与眼球接触紧密 ,呈“铸造样”改变。糖皮质激素及放射治疗对于弥漫性淋巴增生型炎性假瘤效果显著 ,而纤维增生型炎性假瘤对各种治疗方法均不敏感。结论 影像学检查对于眼眶炎性假瘤的诊断、鉴别诊断。
Objective To analyze and summarize the clinical signs, the diagnostic and differential diagnostic value of imaging examination in orbital inflammatory pseudo tumors and the comparison of the therapeutic effect of various treatments. Method Retrospectively, 271 cases (303 eyes) of orbital inflammatory pseudotumors were analyzed. Results Ultrasonography and CT had their diverse manifestations according to the different characterizations of the histopathology of tumors. B ultrasonography showed a tumor with low reflection and strong sound transmission in diffuse lymphocytic infiltrative pseudotumor. A tumor with fibro proliferative lesion had low reflection, weak sound transmission and irregular border. CT showed lesions touching closely with the globe. Steroid and radiotherapy were effective for diffuse lymphocytic infiltrative pseudotumors. The various therapies were not effective for fibro proliferative lesions. Conclusion Imaging examinations are valuable for the diagnosis, differential diagnosis, the evaluation of histopathology types and the choice of treatment for orbital inflammatory pseudotumors.
出处
《中华眼科杂志》
CAS
CSCD
北大核心
2002年第8期484-487,W003,共5页
Chinese Journal of Ophthalmology
关键词
眼眶炎性假瘤
临床分析
影像学检查
鉴别诊断
治疗
Orbital diseases
Ultrasonography
Tomography,X ray computed
Magnetic resonance imaging
