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目的探讨CT和MRI在引起突眼性病变的诊断及鉴别诊断价值。方法回顾性分析经手术病理证实或治疗随访的200例以突眼为临床表现的患者的CT和MRI表现特点。结果眼球内病变10例,肌锥内112例,肌锥外50例,视神经鞘区8例,骨膜下区20例。结论CT和MRI扫描对眼球突出的诊断有可靠的价值,很好地为临床显示病变的来源和范围,为治疗和手术入路提供最佳指导。
Objective To investigate the value of CT and MRI in the diagnosis and differential diagnosis of exophthalmos lesions. Methods We retrospectively analyzed the CT and MRI features of 200 patients with clinically proven ophthalmic features confirmed by surgical pathology or follow-up. Results 10 cases of intraocular lesions, 112 cases of muscle in the cone, 50 cases of muscle outside the cone, optic nerve sheath in 8 cases, 20 cases of subperiosteal. Conclusion CT and MRI scans have a reliable value in the diagnosis of exophthalmos and provide the best guidance for the treatment and surgical approach for the clinical display of the source and scope of lesions.