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目的 :探讨眼球损伤 CT诊断的价值。方法 :回顾 48例 CT及眼科证实的眼球损伤患者。 CT检查常规 3mm横断扫描 ,14例加作冠状扫描 ,31例加作冠状和 /或矢状重建。手术 45例。结果 :48例中 ,球内金属异物 19只占 40 % ,球后金属异物 9只占 19% ;眼环一处或多处断裂 38只占 78% ;晶状体脱位 3只占 6 % ,晶状体膨大、密度减低 5只占 10 % ;晶状体脱落 5只占 10 % ,眼球增大 3只占 6 % ,眼球缩小 9只占 19% ,眼环增厚 16只占 33% ;前房变浅 2只占 4% ,前房加深 8只占 17% ;玻璃体内出血 9只占19% ;视网膜下积血 2只占 4%。结论 :CT扫描能明确眼球损伤的范围 ,准确诊断损伤的程度 ,因而是诊断眼球损伤的重要方法之一
Objective: To investigate the value of CT diagnosis of eyeball injury. Methods: A retrospective review of 48 patients with eye injury and ophthalmology confirmed. CT examination of conventional 3mm transection, 14 cases plus coronal scan, 31 cases plus coronal and / or sagittal reconstruction. 45 cases of surgery. Results: In 48 cases, 19% of intracapsular metallic foreign bodies accounted for 40%, 9% of metallic foreign bodies were posterior ones, 38% of one or more fractures of the eye were accounted for 78%, 3 cases of lens dislocation accounted for 6% and the lens was enlarged , Density reduced 5 only 10%; lens 5 off 10%, eye increased 3 only 6%, 9 eyes reduced to 19%, eye ring thickening 16 only 33%; anterior chamber shallow 2 Accounting for 4%, anterior chamber deepening 8 accounted for 17%; vitreous hemorrhage 9 accounted for 19%; 2 subretinal hemorrhage accounted for 4%. Conclusion: CT scan can clear the scope of eye damage and accurately diagnose the degree of damage, so it is one of the important methods to diagnose eyeball injury