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目的分析总结眼眶炎性假瘤临床和CT扫描特点,提高该病诊断水平。方法经手术病理或临床治疗观察确诊的眼眶炎性假瘤42例,回顾分析其临床及CT表现。结果 42例中,主要表现为突眼(占 73．8％)及眼球运动障碍(占52．4％),其次为眼缘触及肿块(占40．5％);其中单眼发病33例,双侧发病9例。 CT分型:浅层巩膜型2例,漫润型4例,肿块型13例,肌炎型11例,泪腺型12例。结论 CT扫描能明确眼眶炎性假瘤的部位及侵犯范围,其分型为临床确定治疗方案提供重要依据。
Objective To summarize the clinical and CT features of orbital pseudotumor and improve the diagnosis of this disease. Methods Forty-two cases of orbital inflammatory pseudotumor confirmed by operation and pathology or clinical treatment were retrospectively analyzed. The clinical and CT findings were retrospectively analyzed. Results Of the 42 cases, the majority of them were exophthalmos (73.8%) and oculomotor disorders (52.4%), followed by ocular palpable masses (40.5%). Among them, Side of the disease in 9 cases. CT classification: 2 cases of superficial sclera, 4 cases of diffuse type, 13 cases of mass type, 11 cases of myositis, 12 cases of lacrimal gland type. Conclusion CT scan can confirm the location of the orbital inflammatory pseudotumor and the scope of invasion, and its classification provides an important basis for the clinical treatment plan.