眼球突出的CT诊断价值

李晓兰; 杨全; 张翱

中国临床医学影像杂志 ›› 2008, Vol. 19 ›› Issue (2) : 106-109.

论著

眼球突出的CT诊断价值

李晓兰，杨全，张翱

作者信息 +

Value of CT in the diagnosis of exophthalmos

LI Xiao-lan, YANG Quan, ZHANG Ao

Author information +

文章历史 +

摘要

目的：探讨眼球突出的病因、CT诊断及鉴别诊断价值。方法：回顾分析82例经手术、病理及治疗随访证实的以眼球突出为临床表现的患者的CT表现及临床特点。结果：格氏病23例（甲状腺机能亢进17例，甲状腺机能正常6例），炎性假瘤20例，血管瘤16例，转移瘤3例，视网膜母细胞瘤4例，视神经胶质瘤5例，淋巴管瘤3例，副鼻病变5例，颈动脉海绵窦瘘3例，其主要CT表现为：眼球突出，眼球后、眼球内肿块，眼肌增粗等，增强扫描，因病变不同，病变有不同程度的强化，囊性病变及坏死组织无明显强化。结论：CT扫描对眼球突出的价值在于眼球突出的病因诊断及病变的来源、范围显示。

Abstract

Objective: To study the etiologic factors, the value of CT diagnosis and differential diagnosis of exophthalmos. Method: The CT appearances and clinical features of 82 cases who had exophalmos confirmed by operation, pathology and follow-up of treatment were analyzed retrospectively. Result: This study included Graves disease 23 cases (hyperthyroidism 17 cases, normothyroidism 6 cases), inflammatory pseudotumor 20 cases, angioma 16 cases, metastatic tumor 3 cases, retinal glioblastoma 4 cases, cranial neurogliocytoma 5 cases, lymphangioma 3 cases, nasosinusitis 3 cases, carotid cavernous fistula 5 cases. Their CT appearances were exophalmos, tumor behind the eyeball and within the eyeball, thickening muscular apparatus. Conclusion: The CT scanning has important value for etiological diagnosis and displaying the circumsciption of pathological changes of exophalmos.