本文選題：眼眶 + 結(jié)核��； 參考：《中國(guó)醫(yī)學(xué)影像技術(shù)》2014年07期

【摘要】：正患者男,46歲,因"右眼局部紅腫,眼分泌物增多6個(gè)月"入院。專科檢查:右眼上瞼紅腫,壓痛(+/-),瞼裂較左眼縮小,未捫及明顯腫塊。右眼結(jié)膜內(nèi)眥部球結(jié)膜見(jiàn)0.5cm×0.5cm大小新生物,色紅,表明光滑,帶蒂,活動(dòng)度好。右眼眼球稍向外突出,眼球向各個(gè)方向運(yùn)動(dòng)受限,眼眶有壓痛,指測(cè)眶壓明顯增高。MRI:右眼球突出,右上直肌群明顯增粗,呈腫塊樣改變,邊緣模糊,T1WI呈稍低信號(hào),T2WI呈稍高信號(hào);右外直肌、內(nèi)直肌輕度增粗,右上瞼軟組織增厚;增強(qiáng)掃描病變呈顯著不均勻強(qiáng)化,右上直肌內(nèi)可見(jiàn)環(huán)形強(qiáng)化(圖1)。穿刺活檢病理學(xué)診
[Abstract]:The patient, aged 46, was admitted to hospital because of local redness and exudation of the right eye for 6 months. Special examination: right upper eyelid redness, tenderness (P-U, eyelid fissure is smaller than left eye, not palpable mass. The bulbar conjunctiva of the inner canthus of the right eye showed the size of 0.5cm 脳 0.5cm, which was red, smooth, pedicled and with good activity. The right eye slightly protruded outward, the eye movement in all directions was limited, the orbital pressure was obviously increased. MRI: the right ocular bulb protruded, the right superior rectus muscle group thickened obviously, and the margin was slightly lower on T 1WI and slightly hyperintense on T 2WI. Right lateral rectus muscle, medial rectus muscle slightly thickened, right upper eyelid soft tissue thickening, contrast-enhanced lesions showed significantly uneven enhancement, ring enhancement could be seen in right superior rectus muscle (Fig. 1). Biopsy pathology
【作者單位】： 中南大學(xué)湘雅二醫(yī)院放射科;
【分類(lèi)號(hào)】：R445.2;R529.8

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1 吳伯琨;;兒童眼眶結(jié)核[J];河北醫(yī)科大學(xué)學(xué)報(bào);1983年04期

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