骶骨结核的CT诊断(附13例报告及文献复习)  

CT Diagnosis of Sacrcal Tuberculosis:A Report of 13 Cases and Review of the Literature

作　　者：李润根 迟之模 

机构地区：[1]中国兵器工业五二一医院放射科,陕西西安710065

出　　处：《实用放射学杂志》2003年第2期146-148,共3页Journal of Practical Radiology

摘　　要：目的　探讨骶骨结核的CT表现。方法　 13例经手术证实的骶骨结核的病例 ,结合文献分析其CT表现。结果　骶骨结核以S1～ 2 多见 ,骨质破坏有不规则溶骨和沿骶孔破坏 2种。冷脓肿分布于骶前区、髂窝区和 /或臀肌区。 3例 ( 2 3.1% )合并骶髂关节结核 (右侧 2例 ,左侧 1例 )。结论　CT能明确显示骶骨破坏的程度、冷脓肿的位置及邻近结构受累的情况 。Objective To study CT findings of sacral tuberculosis.Methods CT findings of sacral tuberculosis confirmed pathologically in 13 cases were analysed combined with literature review.Results The S 1～2 tuberculosis was most common.The types of sacrum destruction were osteolytic and bone destruction along the sacral foramen.The cold abscess were distributed at the presacral,unilateral iliac fossa and/or the gluteal region.Three patients(23.1%) were associated with sacroiliac joint tuberculosis(right 2,left 1).Conclusion In the patients with sacral tuberculosis the patterns of sacrum destruction,region of cold abscess and its relationship with the neighboring structures can be well showed by CT,and it can help surgeons to choose the appropriate surgical approach.

关 键 词：骶骨结核 CT诊断 骨质破坏 冷脓肿 骶髂关节结核 扫描技术 

分 类 号：R529.2[医药卫生—内科学] R681.58[医药卫生—临床医学]