影像学检查在甲状腺相关眼病评估中的应用  

Application of imaging examinations in the evaluation of thyroid-associated ophthalmopathy

作　　者：高晓薇 刘延东[1,2] 刘立民 GAO Xiaowei;LIU Yandong;LIU Limin(Department of Teaching and Research Office,Hebei Medical University,Shijiazhuang 050017,Hebei Province,China;Department of Ophthalmology,Hebei Eye Hospital,Xingtai 054001,Hebei Province,China)

机构地区：[1]河北医科大学眼科教研室,河北省石家庄市050017 [2]河北省眼科医院眼科,河北省邢台市054001

出　　处：《眼科新进展》2025年第4期321-325,共5页Recent Advances in Ophthalmology

摘　　要：甲状腺相关眼病是一种器官特异性自身免疫性疾病,多与甲状腺功能亢进有关,但也可能存在于甲状腺功能正常或甲状腺功能减退的慢性自身免疫性甲状腺炎患者中。甲状腺相关眼病的临床表现多样,病情进展不一,因此准确评估其活动性和病变程度对指导临床治疗至关重要。影像学检查在甲状腺相关眼病的临床诊断和病情评估中起着重要作用,目前常用的方法包括计算机断层扫描和磁共振成像。本文就计算机断层扫描和磁共振成像在甲状腺相关眼病评估中的应用现状进行综述,以帮助临床医生选择适当的影像学检查方法,对疾病进行准确的分期,制定更为合理的治疗方案。Thyroid-associated ophthalmopathy(TAO)is an organ-specific autoimmune disease closely related to hyperthyroidism,but it may also be detected in chronic autoimmune thyroiditis patients with normal thyroid functions or hypothyroidism.The clinical manifestations of TAO are diverse,and the progression of the disease varies.Therefore,accurately assessing its activity and the extent of lesions is crucial for guiding clinical treatment.Imaging examinations play an important role in the clinical diagnosis and evaluation of TAO.Commonly used methods include computed tomography(CT)and magnetic resonance imaging(MRI).In this article,the current applications of CT and MRI to the evaluation of TAO were reviewed,aiming to assist clinicians in selecting appropriate imaging modalities for accurate disease staging and formulating more rational treatment strategies.

关 键 词：甲状腺相关眼病 影像学检查 计算机断层扫描 磁共振成像 

分 类 号：R777.5[医药卫生—眼科]