儿童视网膜母细胞瘤的临床特点与CT表现分析

Clinical Characteristics and CT Findings of Retinoblastomas in Children

目的探讨儿童视网膜母细胞瘤的临床特点及CT表现。方法回顾性分析2010年7月-2015年7月于我院经手术及病理证实为视网膜母细胞瘤的35例(36只眼)患儿的临床资料及CT检查结果,总结儿童视网膜母细胞瘤的临床特点及CT特征。结果本组Ⅰ期25例(26眼),占72.22%(26/36),Ⅱ期10例(10眼),占27.78%(10/36),Ⅲ期1例(1眼),占2.78%(1/36);以肿块内钙化为视网膜母细胞瘤的典型CT征象。结论儿童视网膜母细胞瘤以眼球内肿块并钙化为特点,CT诊断对视网膜母细胞瘤钙化敏感度高,是其临床诊断的首选方式。

Objective To investigate the clinical characteristics and CT findings of retinoblastomas in children. Methods The clinical data and CT findings of 35 children（36 eyes） with retinoblastomas confirmed by operation and pathology in our hospital from July 2010 to July 2015 were retrospectively analyzed and summarized. Results In the study, 25 patients（26 eyes） in phaseⅠaccounted for 72.22%（26/36）, 10 cases（10 eyes） in phaseⅡfor 27.78%（10/36） and a case in phase Ⅲ for 2.78%（1/36）. Calcification within masses was the typical CT sign of retinoblastomas. Conclusion Masses and calcification within eyeballs are the characteristics of retinoblastomas in children. The sensitivity of CT diagnosis to retinoblastomas is high, which is the first choice for the clinical diagnosis of retinoblastomas.