眶内海绵状血管瘤的临床、病理及影像学分析

Analysis of clinical features and pathology and radiology of intraorbital cavernous hemangioma

目的 探讨眶内海绵状血管瘤的临床、病理及影像学特点。方法 回顾性分析 5 1例眶内海绵状血管瘤患者的临床表现、X线平片、超声和 CT以及病理学资料。结果 (1)临床主要表现为眼球突出 ;(2 ) B超发现占位病变 45例 ,确诊 42例 ;CT扫描 5 1例病变全部检出并准确定位 ;(3)病理上肿瘤多呈有完整包膜的实性肿块 ,由不规则血窦构成。结论 临床表现及 X线检查可提示良性肿瘤 ,CT扫描可准确定位 ,而 B超的定位优于 CT,二者可以互补。

Objective To investigate the characteristics of clinical and pathology and radiology of intraorbital cavernous hemangioma.Methods 51 cases were analyzed with respect to the patients' clinical manifestations,X-ray,ultrasonography,computerized tomography and pathological examination.Results (1)Clinical manifestations were mainly exophthalmus.(2)Ultrasonography exams found 45 masses and diagnosed 42 cases correctly.CT scan revealed 51 masses in all patients.(3)Pathologically,the tumors were solid masses with well-defined membrane.Conclusion Clinical manifestations and X-ray were helpful to reveal the benign nature of the tumors.CT could precisely show the spatial location of the tumors while ultrasonography was much better to reveal the pathological category of the tumors.The two methods could complement each other.