50例脊柱结核的CT及X线平片表现分析  

The Manifestations of Tuberculosis of Spine on CT and Plain Radiography:An Analysis of 50 Cases

作　　者：高儒林 霍现英[1] 赵兴海 张玉祥[1] 赵景臣 陈兰泽 郝风春 

机构地区：[1]河北省峰峰矿务局总医院CT室,河北省峰峰矿务局总医院放射科,河北省峰峰矿务局第二医院放射科

出　　处：《临床放射学杂志》1995年第S1期78-80,共3页Journal of Clinical Radiology

摘　　要：选择５０例经ＣＴ诊断及手术病理证实的脊柱结核，对ＣＴ及Ｘ线平片表现进行回顾性分析，结果表明：ＣＴ发现椎体及附件骨破坏特别是较小较轻微的骨破坏及椎管内侵犯的能力、显示死骨及局限性脓肿的能力优于平片，能区别脓肿及肉芽肿。而Ｘ线平片显示椎间隙狭窄、脊柱滑脱等优于ＣＴ。结合文献讨论了与脊柱转移瘤的鉴别诊断。Fifty cases with tuberculosis of spine diagnssed by CT and confirmed by surgico-pathology were retrospectively studied on the manifestations of CT and plain radiography.CT is superior to plain radiography in showing the destruction of bone of vertebral body and appendix,especially smaller and mild destruction of bone-sequester,local abscess and the involvement in vertebral canal.CT can differentiate abscess from granuloma,but plain radiography is better than CT in showing narrowing of intervertebral space and dislocation of vertebral body.The differential diagnosis between tuberculosis and metastatic tumor of spinal column was discussed.

关 键 词：脊柱结核 CT X线平片 

分 类 号：R529.2[医药卫生—内科学]