论著-头颈部
眼眶滑车钙化的MSCT表现及临床价值
作者:王 梅1 杨贵华1 徐庆霞2 朱建忠1 李长勤1
所属单位:1.泰山医学院附属医院医学影像科 (山东 泰安 271000) 2.山东省泰安市泰前社区卫生 服务中心消化内科 (山东 泰安 271000)
PDF摘要
目的 研究眼眶滑车钙化的MSCT 表现及临床价值。方法 收集因外伤或怀 疑眼眶内异物来本院就诊并行眼眶MSCT 检查的216例病例资料,并对其中检出的 共计54例眼眶滑车钙化的MSCT表现进行 分析。结果 216例患者中,检出的眼眶 滑车钙化几率为25%(54/216),54例眼 眶滑车钙化者的平均年龄为37.6岁。眼 眶滑车钙化均位于眼眶内上壁旁,并与 上斜肌折反肌腱相延续,眼眶滑车钙化 形态不一,多为小斑点状或短条状,分 布以双侧者多见(30/54),钙化平均CT值 为165HU。结论 眼眶滑车钙化的MSCT表 现有特征性,正确认识其表现具有重要 的临床实用价值。
Objective To investigate the appearances and the clinical value of multislice CT (MSCT) in orbital trochlea calcification. Methods In this research, 216 patients with orbital MSCT examination due to trauma or suspected orbital foreign body were collected, in which 54 cases were detected with orbital trochlea calcification. The MSCT findings of 54 cases of orbital trochlea calcification were analysed. Results The 54 cases of orbital trochlea calcification accounted for 25%of all patients (54/216) and the average age of them was 37.6 years.Orbital trochlea calcification was located in fixed position, attached to the top of the front medial orbital wall, continuous with the superior oblique tendon. bilateral calcification was showed in 30 cases. Major shape of the calcification was small spots or short strip. Size and shape of orbital trochlea calcification might be inconsistent with bilateral. The average CT value of calcification was 165HU. Conclusion MSCT can show the features of the orbital trochlea calcification and has an important clinical significance.
【关键词】眼眶滑车;钙化;体层摄影 术;X线计算机
【中图分类号】R777.5
【文献标识码】A
【DOI】 10.3969/j.issn.1672- 5131.2017.04.013
前言
随着CT设备的更新换代及广泛应用,眼眶的微细结构也显示越来 越清楚,其中眼眶滑车钙化的检出率也随之提高[1]。虽然眼眶滑车钙 化并不少见,但因不被人们重视,往往容易被误诊为异物或骨碎片等 等[2]。本文通过分析眼眶滑车钙化的多层螺旋CT(multi-slice CT, MSCT)表现,希望能提高对眼眶滑车钙化的认识并做出正确诊断。
中国CT和MRI杂志
第15卷, 第 4 期
2017年04月
相关文章