眼眶肌锥内肿瘤的病理及影像分析

摘要 目的：分析眼眶肌锥内肿瘤的病理分类及其影像检查特点。方法：回顾性分析经手术病理证实的43例肌锥内肿瘤患者的临床及影像表现，根据临床诊断及影像检查结果进行手术。结果：43例眼眶肌锥内肿瘤中，海绵状血管瘤24例，神经鞘瘤7例，血管淋巴管瘤6例，静脉性血管瘤6例。这些眼眶肿瘤在CT及彩色多普勒超声检查上各有特征，结合两种检查有助于对肿瘤进行定性诊断。结论：眼眶肌锥内肿瘤中最常见的是海绵状血管瘤，其次为神经鞘瘤，血管淋巴管瘤，静脉性血管瘤。结合临床特点采用合理的影像学检查可以帮助我们做出正确的诊断。

Pathological and imaging analysis of primary orbital intraconal tumors

ABSTRACT　Objective :To analyze the pathologic types of orbital intraconal tumors and their image characteristics . Methods: The clinical and image characteristics of 43 patients verified by post operation pathological examinations were studied retrospectively.The patients then underwent operation based on the clinical diagnosis and the findings on the imaging modalities .Results: There were 24 cases of cavernous hemangioma , 7 cases of neurilemmoma , 6 cases of hematolymphangioma ,5 cases of venous hemangioma ,and one meningeoma. In all patients, different tumors have different image characteristics, so it is helpful for diagnosis in combination with CT and color doppler imaging(CDI).Conclusions: The common orbital intraconal tumors are cavernous hemangioma, neurilemmoma, hematolymphangioma and venous hemangioma. Combined clinical characteristics with CT and CDI can be useful for making correct diagnosis of orbital tumors.