螺旋CT在脊柱结核的诊断价值与鉴别诊断中的应用分析  

CT Diagnosis And Differential Diangnosis Of Spine Tuberculosis

作　　者：董琼雄 郑浈浈[2] 

机构地区：[1]汕头市第三人民医院CT室,广东汕头515073 [2]汕头大学医学院附属医院放射科,广东汕头505041

出　　处：《国际医药卫生导报》2007年第10期56-59,共4页International Medicine and Health Guidance News

摘　　要：目的探讨提高脊柱结核的CT诊断价值与鉴别诊断。方法对X线怀疑或已诊断脊柱结核的50例患者进行CT扫描，并分析CT影像表现。结果49例显示椎体破坏，42例椎旁脓肿，2例病变侵及椎管，41例椎间盘破坏，7例椎体附件破坏。结论脊柱结核在CT上有着典型的影像学表现，特别是对于估价骨质破坏程度和侵及椎管及椎旁软组织块影的范围更有价值。Objective To improve CT diagnosis and differential diagnosis of spine tuberculosis. Methods 50 patients with X-ray suspicion or diagnosis of spinal tuberculosis were underwent CT examination ,CT findings were analysed . Results 49 cases showsd evidence of destruction of vertebral bodies ,42 Cases had paravertebral soft tissue masses ,vertebral canals were involved in 2 cases ,41cases had vertebral disc destruction ,7 cases had destruction of vertebral appendages. Conclusion Typical findings were show on CT imaging in spine tuerculosis ,expecially delineating the extent of body destruction ,involvement of the spinal canal and existence of paraspinal soft tissue masses .

关 键 词：脊柱结核 X线摄影 X线计算机 

分 类 号：R816[医药卫生—放射医学] R6[医药卫生—临床医学] R5