脊椎结核的MRI诊断及其价值(附48例分析)  

MRI Diagnosis and Value of Tuberculosis of Spine (Analysis 48 Cases)

作　　者：贾文霄[1] 李白艳[2] 玄祖旗[2] 汪洁[1] 娜迪拉 

机构地区：[1]新疆医学院第一附属医院磁共振室,乌鲁木齐830000 [2]新疆医学院第一附属医院放射科

出　　处：《现代医用影像学》1999年第3期106-108,共3页Modern Medical Imageology

摘　　要：目的：探讨脊柱结核的MRI表现、分型及诊断价值。材料与方法：回顾性分析有完整临床资料及手术病理或细菌学检查结果并经MRI检查的脊柱结核48例。结果：由结核引起椎体破坏多靠近相邻椎间盘处，平均每例受累椎体数为2．9个，以累及胸8－9椎为最常见。48例中44例椎间盘破坏，43例有椎旁脓肿，31例椎管内受累（包括硬膜下脓肿，脊髓结核、结核性脊膜炎）。结论：MRI优势在于多方位任意角度成像可清楚显示各种类型椎体、椎间盘破坏，尤其对椎管内型脊柱结核的诊断具有重要价值。Purpose: To analyzed the MRI features of the tuberculosis of spine in 48 cases to investigate the feature classification and the value of diagnosis for tuberculosis of spine. Materials and Methods: All cases are proved by surgery、pathology or bacteriology. Results: The destruction of vertebral body are 46 patients, intervertebral disk are 44 patients. There are para - spinal abscesses in 43 patients. The vertebral canal were involved in 31 patients (involved subdural abscesses、granulation tuberculosis spinal cord and meningitis). In majority lessons have involved more than two vertebral bodies. The easily involved vertebral are T8~12. Two patients are normal and six patients are without destruction of the vertebral body in X - RAY pictures but the MRI demonstrated the abnormal.Conclusion: The MRI advantages are multi - parameter, multi - orientation and any angle imaging as well as the high resolution of the soft - tissue for spinal tuberculosis. Especially sagittal MRI can show the complete picture of spinal cord to find distinguishly the spinal canal involved condition. So it is important for diagnosis of 'spinal canal type' tuberculosis of spine.

关 键 词：脊椎结核 诊断 分型 NMR 成像 

分 类 号：R529.204[医药卫生—内科学] R445.2[医药卫生—临床医学]