采用MSCT鉴别诊断脊椎结核与肿瘤的可行性分析  

Analysis of Feasibility that MSCT was Used to Identify and Diagnose Spinal Tuberculosis and Tumors

作　　者：池盟盟 李杨 曾庆[1] CHI Meng-meng;LI Yang;ZENG Qing(Department of Radiology,Nanyang Central Hospital,Nanyang 466700,Henan Province,China;Nanyang Technical College,Nanyang 466700,Henan Province,China)

机构地区：[1]南阳市中心医院放射科,河南南阳466700 [2]南阳市高等专科学校,河南南阳466700

出　　处：《中国CT和MRI杂志》2021年第9期170-172,共3页Chinese Journal of CT and MRI

基　　金：河南省医学科技攻关计划项目(2017013281)。

摘　　要：目的分析采用MSCT鉴别诊断脊椎结核与肿瘤的可行性。方法回顾性分析本院2017年4月至2019年7月收治的98例脊柱病变患者的临床资料,将MSCT检查所得结果进行诊断分析;比较MSCT平扫和MSCT平扫+增强诊断脊柱疾病的准确率,分析脊柱结核和脊柱肿瘤的CT征象。结果98例脊柱病变患者中,脊柱肿瘤55例,脊柱结核43例。经MSCT平扫诊断出脊柱结核33例,脊椎肿瘤39例,有26例患者无法诊断,总确诊率为73.47%;经MSCT平扫+增强诊断出脊柱结核41例,脊椎肿瘤53例,仅4例患者无法诊断,总确诊率为95.92%。MSCT平扫+增强诊断脊柱病变的总确诊率显著优于MSCT平扫(P<0.05);MSCT平扫+增强对脊柱肿瘤、脊柱结核的影像学征象的显示优于MSCT平扫。结论MSCT检查可清楚显示脊髓病变的影像学特点,能有效鉴别诊断脊柱肿瘤和脊柱结核,值得广泛推广应用。Objective To analyze the feasibility that MSCT was used to identify and diagnose spinal tuberculosis and tumors.Methods The clinical data of 98 patients with spinal lesions admitted to our hospital from April 2017 to July 2019 were retrospectively analyzed.The results of the MSCT examination were analyzed.The accuracy of MSCT plain and MSCT plain scan+enhanced scan in the diagnosis of spinal disease was compared.CT signs of spinal tuberculosis and spinal tumors were analyzed.Results In the 98 patients with spinal lesions,55 had spinal tumors,and 43 had spinal tuberculosis.33 cases with spinal tuberculosis were diagnosed by MSCT scan,and 39 cases with spinal tumors were diagnosed by MSCT scan.26 patients could not be diagnosed.The total diagnosis rate was 73.47%.41 cases with spinal tuberculosis were diagnosed by MSCT plain scan+enhanced scan,and 53 cases with spinal tumors were diagnosed by MSCT plain scan+enhanced scan.There were only 4 patients who could not be diagnosed.The total diagnosis rate was 95.92%.The total diagnosis rate of MSCT plain scan+enhanced scan in the diagnosis of spinal lesions was significantly better than that of MSCT plain scan(P<0.05).The imaging of spinal tumors and spinal tuberculosis in MSCT plain scan+enhanced scan was significantly better than that in MSCT plain scan.Conclusion MSCT examination can clearly show the imaging features of myeleterosis,and can effectively differentiate and diagnose spinal tumors and spinal tuberculosis.It is worthy of widespread application.

关 键 词：多层螺旋CT 脊柱结核 脊柱肿瘤 可行性 

分 类 号：R445.1[医药卫生—影像医学与核医学]