机械性眼球损伤的多层螺旋 CT表现  

MSCT features of mechanical eyeball trauma

作　　者：张明[1] 史大鹏[1] 朱绍成[1] 

机构地区：[1]河南省人民医院放射科,河南郑州450003

出　　处：《实用放射学杂志》2012年第8期1189-1191,1207,共4页Journal of Practical Radiology

摘　　要：探讨机械性眼球损伤的CT影像特征,并评估CT检查在机械性眼球损伤中的应用价值。方法 回顾性分析120例机械性眼球损伤患者的CT影像资料,根据患者横断面、冠状面以及三维后处理图像观察和统计眼球损伤的部位、程度及范围。结果 眼球挫伤56例,眼球破裂伤43例,眼球穿孔伤21例,共124只眼球损伤。眼球体积改变、眼球变形、眼环部分增厚或不连续、前房加深或变浅、玻璃体内斑片状密度增高、晶状体形态不整及脱位或脱出、球内或眶内异物及眶壁或颅面骨骨折是机械性眼球损伤的常见CT表现及伴随表现。结论 机械性眼球损伤CT检查有重要价值。Objective To investigate multi-slice spiral computed tomography （MSCT） features of mechanical eyeball trauma. Methods MSCT data of 120 patients with mechanical eyeball iniury were reviewed retrospectively. The site, degree and extents of eyeball injury were assessed with combined the cross-section profile, coronal section profile and 3d post-processing technology. Results MSCT findings of eyeball injuries were as follows： among these 124 cases, there were 56 cases of eyeball contusion, 43 cases with ruptured eyeball injury and 21 cases with perforating injury. The changes of eyeball volume, deformed eyeballs, partly thickened or fractured eye rings, deepened or shallowed anterior chambers, patch high density in the vitreous body, irregular lens and dislocation or prolapse of lens, foreign bodies in eyeballs or orbits, and skull fracture were common CT and accompanied features. Conclusion MSCT examination in diagnosing mechanical eyeball injury has significant clinical value.

关 键 词：眼球损伤 体层摄影术 X线计算机 

分 类 号：R779.1[医药卫生—眼科] R814.42[医药卫生—临床医学]