超声诊断小儿眼眶内肿瘤探讨

Ultrasonographic Diagnosis of Pediatric Intra-Orbital Tumors

摘要: 目的：探讨小儿不同病理类型眼眶内肿瘤声像图特征与病理诊断间关系，提高小儿眼眶内肿瘤超声定性诊断的准确性。方法：回顾分析43例小儿眼眶内肿瘤声像图特征，并与术后病理诊断对照研究。结果：小儿眼眶内肿瘤声像图复杂多样，肿瘤内回声与病理结构相关，好发部位与肿瘤病理性质密切相关。本组超声提示与病理诊断符合者36例，符合率81.39%。结论：超声诊断小儿眶内肿瘤简便、有效，结合肿瘤内部回声及发生部位，可有效提高超声诊断的准确性。

Abstract: Objective: To investigate the relationship between sonographic characteristics and pathologic di-agnosis of pediatric intra-orbital tumors in order to improve the accuracy of qualitative diagnosis of ultrasonography. Methods: The ultrasonography features of 43 cases of pediatric intra-orbital tumors were analyzed and compared with the results of operation and pathological findings. Re-sults: There were many complicated and various types of ultrasonography features of pediatric intra-orbital tumors, the internal echoes of the tumors were correlated with their pathological morphology, and the predilection site of the tumors were correlated with their pathological nature. Ultrasonic diagnostic coincidence rate was 81.39% (36/43). Conclusions: Ultrasonic examination is a simple and effective method in the diagnosis of pediatric intra-orbital tumors, and it is helpful to improve the accuracy of diagnosis combining internal echoes with location of the tumors.