Neudorfer Meira, Leibovitch Igal, Stolovitch Chaim, Dray Jean-Paul, Hermush Vered, Nagar Hagit, Kessler Ada
Department of Ophthalmology, Tel-Aviv Medical Center, Tel-Aviv, Israel.
Am J Ophthalmol. 2004 Jun;137(6):1065-72. doi: 10.1016/j.ajo.2004.01.050.
To evaluate the role of ultrasonography (US) and color Doppler imaging (CDI) in the diagnosis of orbital tumors in children.
Retrospective nonrandomized interventional case series.
This study included 42 children with intraorbital and periorbital tumors who were evaluated in our clinic. All children underwent a complete clinical evaluation as well as orbital US and CDI. The children then underwent operation or were followed up, based on the clinical diagnosis and the findings on the imaging modalities.
The mean age of the patients at diagnosis was 22.5 months (range 2 weeks-14 years old). Eighteen patients (12 female and 6 male) were diagnosed with hemangioma based on the findings in US and CDI; 16 patients (9 female and 7 male) were diagnosed with dermoid, 5 patients (4 female and 1 male) with lymphangioma, 2 patients with rhabdomyosarcoma, and 1 patient with a subperiostal abscess. Twenty-two patients underwent operation, and the diagnosis was confirmed on pathology. Twenty patients did not undergo operation and continued to be followed up in the clinic (mean follow-up period 38.2 months). The disease course in all patients who did not undergo operation was consistent with the working diagnosis.
Both US and CDI are useful modalities in the diagnosis of intraorbital and periorbital tumors in the pediatric age group.
评估超声检查（US）和彩色多普勒成像（CDI）在儿童眼眶肿瘤诊断中的作用。
回顾性非随机干预病例系列研究。
本研究纳入了42例在我院接受评估的眼眶内及眶周肿瘤患儿。所有患儿均接受了全面的临床评估以及眼眶超声检查和彩色多普勒成像检查。然后根据临床诊断和影像学检查结果，对患儿进行手术或随访。
诊断时患者的平均年龄为22.5个月（范围2周 - 14岁）。根据超声检查和彩色多普勒成像结果，18例患者（12例女性，6例男性）被诊断为血管瘤；16例患者（9例女性，7例男性）被诊断为皮样囊肿，5例患者（4例女性，1例男性）被诊断为淋巴管瘤，2例患者被诊断为横纹肌肉瘤，1例患者被诊断为骨膜下脓肿。22例患者接受了手术，病理检查证实了诊断。20例患者未接受手术，继续在门诊随访（平均随访期38.2个月）。所有未接受手术患者的病程与初步诊断一致。
超声检查和彩色多普勒成像在小儿眼眶内及眶周肿瘤的诊断中均是有用的检查方法。
Zotero 插件