张征宇,杨本涛,王振常,鲜军舫.与复视相关影像学改变探讨[J].中国医学影像技术,2004,20(2):196~198 |
与复视相关影像学改变探讨 |
Imaging findings of patients with diplopia |
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DOI: |
中文关键词: 复视 体层摄影术,X线计算机 磁共振成像 |
英文关键词:Diplopia Tomography,X-ray computed Magnetic resonance imaging |
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中文摘要: |
目的 探讨复视患者影像学改变,提高复视病因的影像诊断水平。方法 收集复视患者153例,对其CT、MRI资料进行回顾性分析。结果 ①153例中影像表现正常者37例(24.2%),有异常影像表现者116例(75.8%);②37例影像表现正常者中,有外伤病史者19例(51.4%),临床检查发现眼外肌麻痹者8例(21.6%),临床诊断为脑梗死者2例(5.4%),临床诊断不明确者8例(21.6%); ③有异常影像表现的116例中,病变位于眼眶内90例 (77.6%),其中眶壁骨折66例 (71.8%);病变位于颅内者20例(17.2%);眶颅沟通者3例(2.6%);其他3例(2.6%)。结论 引起复视的疾病影像学表现多样,仔细观察,全面分析有助于明确引起复视的原因。 |
英文摘要: |
Objective To evaluate the imaging findings of patients with diplopia so as to provide evidences for diagnosis and treatment of patients with diplopia.Methods One hundred and fifty-three patients with diplopia were retrospectively analysed.Results ① There were 37 cases (24.2%) with normal imaging findings,116 with abnormalities (75.8%). ② In 37 without abnormality,19 (51.4%) had a history of trauma,8 (21.6%) had ophthalmoplegia,2 (5.4%) had cerebral infarction,and 8 (21.6%)had uncertain clinical diagnosis.③ In 116 with abnormalities,orbital diseases were found in 90 (77.6%),including fracture in 66 orbital walls (71.8%),intracranial diseases in 20 (17.2%),both orbital and intracranial diseases in 3 (2.6%) and other diseases in 3 (2.6%).Conclusion The disease which can cause diplopia may show various imaging findings. It is important to evaluate these changes and to find the causes of diplopia. |
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