[眼眶囊尾蚴病的临床分析]

[Clinical analysis of orbital cysticercus cellulosae].

作者信息

Wang D, Song G

机构信息

Department of Ophthalmology, the Second Hospital, Tianjin Medical University, Tianjin 300211.

出版信息

Zhonghua Yan Ke Za Zhi. 1999 Mar;35(2):129-31.

PMID:11835792

Abstract

OBJECTIVE

To investigate the clinical features, laboratory tests, medical imaging manifestations, diagnosis and treatment of orbital cysticercus cellulosae.

METHODS

23 cases of orbital cysticercus cellulosae were analyzed from 1973 to 1997.

RESULTS

Most cases had features of exophthalmos, lid swelling, limitation of ocular movement. Some of them with visual loss, optic papilledema and orbital mass. B-scan ultrasonography revealed a cystic tumor and a strong echo spot with spontaneous movement. On CT scanning, found was a well-defined hyperdensity mass in which there was a low density area. On MRI, the signal intensity of T(1)WI of cystic fluid was low or moderate and of T(2)WI was high, while the signal intensity of T(1)WI and T(2)WI of surrounding scar tissue was still low.

CONCLUSION

We can make diagnosis by imaging tests and treat them with surgical operations.

摘要

目的

探讨眼眶囊尾蚴病的临床特征、实验室检查、医学影像学表现、诊断及治疗方法。

方法

对1973年至1997年期间收治的23例眼眶囊尾蚴病患者进行分析。

结果

多数病例有眼球突出、眼睑肿胀、眼球运动受限等表现。部分患者有视力下降、视乳头水肿及眼眶肿物。B超显示为囊性肿物及有自发运动的强回声光斑。CT扫描表现为边界清晰的高密度肿块，内有低密度区。MRI检查显示囊液T(1)WI信号强度低或中等，T(2)WI信号强度高，而周围瘢痕组织T(1)WI和T(2)WI信号强度仍低。