目的:探讨颈动脉海绵窦瘘(carotid cavemous fistula,CCF)眼眶彩色多普勒超声显像(color Doppler imaging,CDI)检查的声像表现及其诊断价值。方法:对39例39眼CCF患者的CDI超声表现进行回顾性分析。结果:患者39例均表现为反向动脉化血流的眼上静脉扩张,眼下静脉扩张3例,眼外肌增厚2例。压迫患侧颈总动脉,患侧颈内动脉出现不同程度的倒灌血流。结论:CDI检查可以准确显示CCF眶内扩张的血管及血流动力学状态,对CCF的诊断具有重要临床意义。

AIM:To explore the image presentation and values of orbital color Doppler ultrasound imaging examination in the diagnosis of carotid cavemous fistula(CCF).METHODS:The imaging examination of 39 cases of CCF were retrospectively evaluated.RESULTS:All of 39 cases showed obvious dilated superior ophthalmic vein with artery blood flow model.Dilatation of the inferior ophthalmic vein in 3 cases,and 2 cases showed hypertraphled extraocular muscles.When common carotid artery in affected side were compressed,the internal carotid artery in affected side could present more or less reverse-perfusive blood flow.CONCLUSION:The orbital color Doppler ultrasound imaging examination can showed orbital internal enlarged blood vessel in CCF and its blood flow signal characters.It is valuable to diagnosis of CCF.

R445.1