眼眶炎性假瘤的CT诊断与鉴别诊断  

CT Diagnosis and Differential Diagnosis of Orbital Inflammatory Pseudotumor

作　　者：黄春元[1] 许朝璇[1] 侯瑜[1] 杨茂洪[1] 专庆春[1] 王建华[1] 赵志清[1] 谭永良[1] 

机构地区：[1]广州医学院附属深圳沙井医院放射科,深圳518104

出　　处：《中国医药导刊》2010年第10期1706-1707,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨各种类型眼眶炎性假瘤的CT表现,提高对该病诊断和鉴别诊断水平。方法:回顾性分析32例经手术病理或临床证实的眼眶炎性假瘤的CT资料。结果:肿块型,占15.6%(5/32),CT表现为眶内软组织肿块;弥漫型,占34.4%(11/32),CT表现为充满眶内球后区软组织影,眶内结构分界不清;肌炎型,占37.5%(12/32),CT表现为眼外肌受累增粗,肌腱肥大;泪腺型,占12.5%(4/32),CT表现为泪腺肿大。结论:CT在眼眶炎性假瘤的诊断和鉴别诊断中具有重要作用。Objective：To investigate the CT findings of orbital inflammatory pseud0tumor in different types and to improve the diagnosis and differential diagnosis of this disease.Metbods：CT findings of orbital inflammatory pseudotumor in 32 Cases confirmed by clinic orathology were analysed retrospectively.Results：Mass type in 5 cases （15.6%）,the characteristic CT findings were soft-tissue masses in intraorbit;Diffusion type in 11 cases （34A%） displayed diffuse orbital inflammatory soft tissue; Myositis type in 12 cases（37.5%） showed the enlargement of entire muscles including the tendinous insertion; Lacrimal galnd type in 4 cases（12.5%） showed enlargement of lacrimal gland on CT.Conclusion：CT scan is of important role in diagnosing and differential diagnosing orbital inflammatory pseudoturaor.

关 键 词：眼眶 炎性假瘤 体层摄影术 X线计算机 

分 类 号：R816.97[医药卫生—放射医学]