河北医学2024，Vol.30Issue(11)：1848-1853,6.DOI:10.3969/j.issn.1006-6233.2024.11.017
眼眶海绵状血管瘤眼眶神经鞘瘤患者的CT MRI影像特征及诊断鉴别研究
CT and MRI Features and Differential Diagnosis of Orbital Cavernous Hemangioma and Orbital Schwannoma
摘要
Abstract
Objective:To observe the computed tomography(CT)and magnetic resonance imaging(MRI)features of patients with orbital cavernous hemangioma and orbital schwannoma,and value of the two methods in differential diagnosis.Methods:From January 2021 to January 2024,82 patients with orbital cav-ernous hemangioma and orbital schwannoma were admited to our hospital,and they were selected as the re-search subjects.Based on surgical and pathological results,the patients were divided into cavernous hemangi-oma group(n=44)and schwannoma group(n=38).All patients underwent CT and MRI examinations be-fore surgery.CT and MRI features of the two groups were comparatively analyzed.The value of the two ima-ging methods in differential diagnosis of orbital cavernous hemangioma and orbital schwannoma was compared.Results:CT examination showed that the density of soft tissues in patients with cavernous hemangioma was u-niform,and the proportion of CT values≥50HU was higher than that in patients with schwannoma(P<0.05).MRI examination showed that patients with cavernous hemangioma had flatter eyeball walls,with equal signal intensity on T1WI and T2WI,uniform and progressively enhanced signals on T1WI and T2WI.The pro-portion of plateau/outflow type TIC was higher than that in patients with schwannoma(P<0.05).The accord-ance rates of MRI were higher than those of CT for qualitative diagnosis and localization diagnosis of orbital cavernous hemangioma and orbital schwannoma(P<0.05).Conclusion:MRI features of patients with orbital cavernous hemangioma and orbital schwannoma are significantly different.MRI is superior to CT for qualitative diagnosis and localization diagnosis of orbital cavernous hemangioma and orbital schwannoma,and can provide an imaging basis for clinical diagnosis and differentiation.关键词
眼眶海绵状血管瘤/眼眶神经鞘瘤/计算机体层摄影/磁共振成像/影像特征/诊断鉴别Key words
Orbital cavernous hemangioma/Orbital schwannoma/Computed tomography/Mag-netic resonance imaging/Image feature/Differential diagnosis引用本文复制引用
连鹏,王利,张晖,吕朋,蒋士杰..眼眶海绵状血管瘤眼眶神经鞘瘤患者的CT MRI影像特征及诊断鉴别研究[J].河北医学,2024,30(11):1848-1853,6.基金项目
陕西省重点研发计划,(编号:2024SF-YBXM-232) （编号:2024SF-YBXM-232）
