CT、超声和MRI对眼眶海绵状血管瘤诊断价值比较  

Comparison of the diagnostic value of CT,ultrasonography and MRI in orbital cavernous hemangioma

作　　者：赵佳龙 路亚运 许琨 ZHAO Jialong;LU Yayun;XU Kun(Department of Radiology,Zhangjiakou Second Hospital,Hebei,Zhangjiakou 075000,China;不详)

机构地区：[1]河北省张家口市第二医院放射科,075000 [2]河北省张家口市第四医院功能科

出　　处：《河北医药》2023年第22期3477-3479,共3页Hebei Medical Journal

基　　金：张家口市科技计划项目(编号:2221206D)。

摘　　要：目的探讨三种不同方法在眼眶海绵状血管瘤(OCH)诊断中的灵敏度、特异度。方法选择2020年12月至2022年3月收治的80例眼眶海绵状血管瘤患者,采用CT、超声及MRI对患者进行检测,以手术病理检验诊断结果作为“金标准”,评价不同检测方法对诊断眼眶海绵状血管瘤的灵敏度与特异性。结果以手术病理检验诊断结果作为“金标准”,80例患者共有74例患者确诊为OCH;超声诊断OCH的灵敏性为81.08%(60/74)特异度为33.33%(2/6)。CT诊断OCH的灵敏性为90.41%(66/74)特异度为50.00%(3/6)。MRI诊断OCH的灵敏性为98.65%(73/74)特异度为83.33%(5/6)。MRI诊断特异度、灵敏度、准确率均显著高于CT组、超声诊断组,3组比较差异有统计学意义(P<0.05)。结论MRI诊断OCH的灵敏性与特异度最高,具有较高的诊断价值。Objective To compare the sensitivity and specificity of three different examinations in the diagnosis of orbital cavernous hemangioma(OCH).Methods A total of 80 OCH patients admitted to our hospital from December 2020 to March 2022were examined by computed tomography(CT),ultrasonography and magnetic resonance imaging(MRI).With the postoperative pathology as the gold standard,the sensitivity and specificity of three examinations in diagnosing OCH were compared.Results With the postoperative pathology as the gold standard,74/80 patients were diagnosed as OCH.The sensitivity and specificity of ultrasonography in diagnosing OCH were 81.08%(60/74)and 33.33%(2/6),respectively.The sensitivity and specificity of CT in diagnosing OCH were 90.41%(66/74)and 50.00%(3/6),respectively.The sensitivity and specificity of MRI in diagnosing OCH were 98.65%(73/74)and 83.33%(5/6),respectively.The diagnostic specificity,sensitivity and accuracy of MRI in OCH were significantly higher than those of CT and ultrasonography(P<0.05).Conclusion MRI presents the highest sensitivity and specificity in diagnosing OCH,showing the diagnostic potential.

关 键 词：CT 超声 MRI 眼眶海绵状血管瘤 灵敏度 特异度 

分 类 号：R777.5[医药卫生—眼科]