Pinzuti-Rodné V, Elmaleh M, François M, Williams M, Narcy P, Hassan M
Service d'Imagerie Pédiatrique, Hôpital Robert Debré, Paris.
J Radiol. 1999 Jun;80(6):569-74.
To assess the value of orbital sonography (US) compared to CT in the management of children with ethmoid sinusitis.
A total of 13 consecutive patients admitted for non-complicated ethmoid sinusitis (absence of visual or neurological symptoms) were prospectively evaluated at US and CT.
Three patients had no evidence of postseptal involvement at US. Ten patients had variable degree of postseptal involvement at US: hypoechoic area or fluid collection in the extraconal fat along the medial orbital wall. Results were confirmed at CT in all patients.
US is useful to confirm the presence of postseptal involvement in patients with ethmoid sinusitis. Contrary to CT, findings at US remain non-specific as to the nature of involvement. Nonetheless, US is helpful for patient management.
评估眼眶超声(US)与CT相比在筛窦炎患儿治疗中的价值。
对13例因非复杂性筛窦炎(无视力或神经症状)入院的连续患者进行了超声和CT的前瞻性评估。
3例患者超声检查无筛窦后受累证据。10例患者超声检查有不同程度的筛窦后受累:眶内侧壁锥外脂肪内低回声区或液性聚集。所有患者的结果均经CT证实。
超声有助于确认筛窦炎患者筛窦后受累情况。与CT不同,超声检查结果在受累性质方面仍不具特异性。尽管如此,超声对患者的治疗仍有帮助。