磁共振成像对脊柱结核的诊断价值  

The diagnostic value of MRI to spinal tuberculosis

作　　者：杨虹[1] 郭玉林[2] 李雪霜[1] 陆通[1] 

机构地区：[1]宁夏医科大学,银川750004 [2]宁夏医科大学总医院放射科,银川750004

出　　处：《磁共振成像》2016年第3期198-202,共5页Chinese Journal of Magnetic Resonance Imaging

摘　　要：目的总结脊柱结核的MRI特征,提高MRI对脊柱结核的诊断准确率。材料与方法分析经临床手术病理证实的120例脊柱结核患者的影像学资料,所有患者术前行数字化摄影(DR)、MRI平扫及增强检查,分别计算各自的诊断准确率,行卡方检验。结果 120例脊柱结核,DR诊断准确72例(60%),MRI诊断准确112例(93.3%),二者之间差异具有统计学意义(P<0.05)。结论 MRI能够发现脊柱结核的早期征象,有助于确定病变范围,诊断准确率高,对临床诊断和指导治疗有重要意义。Objective： To summarize the MRI performance feature of spinal tuberculosis,and improve the accuracy of MRI in the diagnosis of spinal tuberculosis. Material and Methods： One hundred and twenty cases with spinal tuberculosis confirmed with clinical pathology received digitized photography（DR） and MRI scan（including plain and contrast） before operations, and then calculate their respective diagnostic accuracy, do the chi-square test. Results： One hundred and twenty cases of spinal tuberculosis, the accuracy of DR was 60%（72/120）, the accuracy of MRI was 93.3%（112/120）, there was statistical difference between them（P〈0.05）. Conclusions： The MRI can find early signs of spinal tuberculosis, it can help to determine the scope of the lesions, the diagnosis accuracy is high, and it has important significance for diagnosis and guiding clinical treatment.

关 键 词：结核 脊柱 磁共振成像 

分 类 号：R445.2[医药卫生—影像医学与核医学] R529.4[医药卫生—诊断学]