彩色多普勒超声在眼眶病诊断中的价值  

The value of color Doppler imaging ultrasound in diagnosis of orbital diseases

作　　者：张文静[1] 赵慧芬[1] 宋国祥[1] 

机构地区：[1]天津医科大学第二医院眼科,300211

出　　处：《中华眼科杂志》2001年第6期447-450,T003,共5页Chinese Journal of Ophthalmology

摘　　要：目的　探讨彩色超声多普勒 (colorDopplerimaging ,CDI)在眼眶病诊断及鉴别诊断中的应用价值。方法　应用CDI技术对 2 88例眼眶病患者眼眶病病变内部的彩色血流显像和脉冲多普勒频谱进行检测。结果　 2 88例眼眶病中 ,恶性肿瘤 38例 ,炎性假瘤 2 3例 ,泪腺混合瘤 (血流信号不丰富 ) 18例 ,神经鞘瘤 2 2例 ,脑膜瘤 7例 ,良性血管内皮瘤及血管外皮瘤各 2例 ,视神经胶质瘤及神经纤维瘤各 1例 ,瘤体内CDI均可检测出血流信号 ;海绵状血管瘤 6 2例 ,皮样囊肿 16例及脂肪瘤 1例瘤体内CDI检测均无血流信号 ;静脉性血管瘤 2 9例中 ,CDI检测出静脉血流信号 16例 ;动静脉血管瘤 3例CDI检测出动脉血流信号 ;静脉曲张 15例在颈静脉加压和压力解除过程中示动态血流变化 ;婴儿性血管瘤 6例应用糖皮质激素治疗后内部血流信号明显减少 ;颈动脉海绵窦瘘 13例 ,其中颈内动脉海绵窦瘘 (internalcarotidcavernoussinusfistula ,CCF) 8例和硬脑膜海绵窦瘘 (duralcavernoussinusfistula,DCF) 5例CDI检测均显示眼上静脉扩张动脉化 ,同时CCF的眼上静脉的血流速度和每分血流量高于DCF ,而阻力指数低于DCF。 1例眼上静脉血栓性静脉炎显示眼上静脉扩张但无血流信号。结论CDI对于多血管性肿瘤和眼眶血管性疾病有其特征性的表现 ;Objective To study the useful value of color Doppler imaging (CDI) ultrasound in the diagnosis and differential diagnosis of orbital diseases. Methods By using the technique of CDI ultrasound, 288 cases with orbital diseases were examined to show color Doppler flow imaging and pulsed wave Doppler (PWD) spectrum. Results Among 288 cases of the orbital diseases, 38 cases of malignant tumors and 23 cases inflammatory pseudotumors showed the signals of blood flow. From CDI ultrasound examination, there were 18 in 23 cases with benign mixed tumors of the lacrimal gland showing artery blood flow and 22 in 28 cases with neurilemoma showing signals of blood flow. No blood flow was obtained in 62 among 74 cases with cavernous hemangioma, in 16 cases of dermoid cysts or epidermoid cysts and 1 case of lipoma. From CDI, rich blood flow was seen in 4 and scarce in 3 cases with meningioma, and in 6 cases of optic nerve gliomas, there were 5 cases without any blood flow signals. Other 2 cases with benign hemangioendothelioma, 2 hemangiopericytoma and 1 neurofibroma showed rich or scarce blood flow signals. Among 29 cases of venous hemangiomas, 16 cases showed venous flow. Three cases with arteriovenous aneurysms showed artery blood flow in the CDI. Fifteen cases with varicosis exhibited a dynamic blood flow changes in the CDI. Six cases with infantile hemangioma, the decreased blood supply was shown in the CDI after treatment. In the thirteen cases with carotid artery cavernous sinus fistula, including 8 cases of internal carotid artery cavernous sinus fistula (CCF) and 5 dural cavernous sinus fistula (DCF), dilated superior ophthalmic vein (SOV) with arterialized blood flow was seen. In the mean time, PWD showed that the SOV of CCF had a higher velocity and a higher flow volume than that of DCF, while its resistance index was lower than that of the DCF. In 1 case with thrombophlebitis, its SOV showed dilated superior ophthalmic vein without blood flow. Conclusions CDI can provide the information of color blood flow in orbi

关 键 词：超声检查 彩色多普勒 眼眶疾病 CDI 

分 类 号：R770.43[医药卫生—眼科]