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目的 :分析眼眶静脉性血管瘤的CT表现 ,提高对本病的诊断和鉴别诊断能力。材料和方法 :回顾分析21例经手术病理证实的眼眶静脉性血管瘤CT图像 ,与55例眼眶海绵状血管瘤对照分析。结果 :CT图像显示 ,21例静脉性血管瘤位于眼眶前部9例 ,肌锥内8例 ,肌锥外3例 ,肌锥内外1例 ;多数病例肿块密度不均匀 ,增强显著 ,6例肿块中有钙化 ;肿块中扭曲血管状影有6例 ,肿块边缘不光滑14例 ,光滑圆形1例 ;眶骨受压7例。两组病例(21例静脉性血管瘤和55例海绵状血管瘤)在病变部位、钙化和形态边缘方面均有显著差异。结论 :增强CT对本病诊断和鉴别诊断具有较高价值。
Objective: To analyze the CT manifestations of orbital venous hemangioma and to improve the diagnosis and differential diagnosis of this disease. Materials and Methods: A retrospective analysis of 21 cases of pathologically confirmed orbital venous hemangiomas CT images, and 55 cases of orbital cavernous hemangiomas control analysis. Results: CT images showed that in 21 cases, venous hemangioma was located in the anterior orbit of the eye, 8 cases were in the muscular cone, 3 cases were in the muscular cone and 1 case was in the muscular cone. Most of the cases showed uneven density, There were calcifications in the masses. Among them, there were 6 cases of twisted angiography in the mass, 14 cases of the smooth edge of the mass, 1 case of smooth and round shape, and 7 cases of orbital bone compression. Two groups of patients (21 cases of venous hemangiomas and 55 cases of cavernous hemangiomas) in the lesion, calcification and morphological margins were significantly different. Conclusion: CT enhanced diagnosis and differential diagnosis of the disease has high value.