颈动脉海绵窦瘘的眼眶CT表现(附23例报告)  

CT findings of carotid cavernous fistula(report of 23 cases)

作　　者：张燕明[1,2] 王振常[1,2] 兰宝森[1,2] 安裕志[1,2] 丁宁[1,2] 凌峰[1,2] 

机构地区：[1]首都医科大学北京同仁医院放射科 [2]北京医院神经外科

出　　处：《中华放射学杂志》1998年第4期253-255,共3页Chinese Journal of Radiology

摘　　要：目的分析２３例经ＤＳＡ检查证实的颈动脉海绵窦瘘的眼眶ＣＴ表现。材料与方法本组２３例，其中有外伤史者１５例，占６５％。颈内动脉海绵窦瘘（ＣＣＦ）１４例，硬脑膜动脉海绵窦瘘９例。均行眼眶ＣＴ检查并经ＤＳＡ造影证实。结果主要ＣＴ表现为：（１）眼球突出；（２）眼上静脉扩张；（３）海绵窦增大；（４）眼外肌增粗；（５）眶内软组织肿胀。结论对突眼的病人进行ＣＴ扫描，发现有上述表现时可考虑颈动脉海绵窦瘘的诊断，但应进行必要的鉴别诊断，ＤＳＡ检查可明确瘘的部位和类型。Purpose To evaluate the CT findings of carotid carvernous fistula(CCF). Materials and methods Twenty three cases of CCF confirmed by DSA were examined by CT. Axial and coronal CT scans were performed in each case. Results CT findings included proptosis, engorged superior ophthalmic vein, enlarged cavernous sinus, hypertrophied extraocular muscle, and swelling of soft tissue. Conclusion CT can show characteristic orbital findings. DSA can determine the location and type of the fistula and is helpful in treatment planning.

关 键 词：颈动脉海绵窦瘘 眼眶 CT 诊断 

分 类 号：R653.04[医药卫生—外科学] R816.1[医药卫生—临床医学]