天津医药

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儿童眼眶肿瘤及肿瘤样病变的CT及MRI表现

国婉华   

  1. 天津市儿童医院
  • 收稿日期:2011-09-21 修回日期:2011-12-05 出版日期:2012-08-15 发布日期:2012-08-15
  • 通讯作者: 国婉华

CT and MRI of Pediatric Orbit Tumors and Tumorlike Lesions

wan-hua GUO   

  • Received:2011-09-21 Revised:2011-12-05 Published:2012-08-15 Online:2012-08-15
  • Contact: wan-hua GUO

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摘要： 【摘要】目的：探讨儿童眼眶肿瘤及肿瘤样病变的CT及MRI表现。方法：回顾性分析我院2005年至2010年经临床病理证实的49例儿童眼眶肿瘤及肿瘤样病变的CT及MRI表现。其中男29例，女22例，年龄范围2个月至13岁。累及左侧眼眶者29例，右侧14例，双侧6例。结果：49例病变中包括骨源性病变36例，其中皮样囊肿19例，骨纤维结构不良4例，郎格罕细胞组织细胞增生症2例，粒细胞肉瘤4例，神经母细胞瘤眼眶转移7例。非骨源性病变13例，其中婴儿型血管瘤9例，神经纤维瘤病1型4例。结论：影像学检查可帮助观察病变的范围，缩小鉴别诊断的范围，对临床后续治疗有重要作用。

关键词: 儿童, 眼眶, 肿瘤, 肿瘤样病变, CT, MRI

Abstract: 【Abstract】Objective: To analyze the CT and MRI of pediatric orbit tumors and tumorlike lesions. Methods: CT and MRI findings of 49 children with pathologically or clinically proved orbital tumor were retrospectively analyzed. Results: 36 cases are osseous lesions of the orbit, including 19 dermoid cysts, 4 fibrous dysplasia, 2 Langerhans cell histiocytosis, 4 granulocytic sarcoma, and 7 neuroblastoma Metastases. 13 cases are nonosseous lesions of the extraocular orbit, including 9 Infantile Hemangiomas and 4 Neurofibromatosis type 1. Conclusion: CT and MRI can be useful to define the extent of the lesion, narrow the differential diagnosis, have important value to the following treatment.

Key words: Pedietric, Orbit, Tumor, Tumorlike lesions, Tomography, X-ray computed, Magnetic resonance imaging