秦伟,张长河,巫北海,向红.眼眶肌炎的CT和临床表现分析[J].中国医学影像技术,2003,19(4):408~409
眼眶肌炎的CT和临床表现分析
Analysis of the CT Findings and Clinical Features of Orbital Myositis
投稿时间:2002-07-26  
DOI:
中文关键词:  眼眶肌炎  体层摄影术,X线计算机
英文关键词:Orbital myositis  Tomography, X-ray computed
基金项目:
作者单位
秦伟 第三军医大学西南医院眼科,3.放射科,重庆 400038 
张长河  
巫北海  
向红 重庆市三峡中心医院 
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中文摘要:
      目的 分析眼眶肌炎的CT和临床表现,加深对该病的认识。方法 对17例有完整CT检查资料和临床资料的眼眶肌炎患者进行了随访、实验室检查和皮质激素治疗等。结果 单眼发病16例,双眼发病1例,CT呈1条肌肉受累14例,眼球附着处增粗11例,眶周痛、眼球突出和眼球运动受限分别为17例,结膜充血水肿16例,眼睑红肿13例,复视9例。结论 CT能准确显示眼眶肌炎的眼肌形态和周围结构变化,结合其临床表现、实验室检查和随访诊断性皮质激素治疗有助于正确诊断。
英文摘要:
      Objective To analyze the CT findings and clinical features of orbital myositis and deepen the understanding of this disease. Methods Seventeen cases of orbital myositis with entire CT and clinical data were collected. All were checked by lab examination and treated by glucocorticoid and performed follow-up. Results Sixteen cases suffered one eye. Fourteen cases involved one rectus muscle. Eleven cases had the enlargement of their rectus muscles at the part attaching to the eyeball. The main clinical features were the periferal orbital pain (n=17), proptosis (n=17),eye movement restriction (n=17), conjunctival chemosis (n=16), eyelid swelling and redness (n=13),and diplopia (n=9). Conclusion CT examination can exactly reveal the shape of orbital muscles and the changes of their neighborhood. The CT findings combining with the clinical features, lab examination, follow-up and diagnostic treatment are of great help to make a correct diagnosis of orbital myositis.
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