脊椎结核CT扫描的评价  

CT Evaluation of Tuberculosis of the Spine

作　　者：沈复兴 李苏建 

机构地区：[1]解放军南京部队南京总医院放射科

出　　处：《实用放射学杂志》1992年第12期710-714,共5页Journal of Practical Radiology

摘　　要：本文介绍30例脊椎结核的CT表现。在CT图上可以见到反映本病病理基础的终板骨毁蚀、中心性穿凿状骨破坏、局限性骨硬化和破坏区内死骨形成。作者认为这些征象对诊断脊椎结核具有特征性。CT还能显示因慢性骨结核感染造成的局限性骨凝缩和修补性骨赘,能精确地确定椎旁和椎管内脓肿的范围。作者认为CT在诊断早期和可疑结核,优于常规放射。作者对鉴别诊断、指征和限度,作了讨论。The CT findings of 30 cases with tuberculosis of the spine were reviewed. The characteristic CT features were erosion of the end—plate, central punched—out bony destruction with marginal sclerosis and multiple tiny sequestra within the bony cavities. Moreover, the chronic inflammatory processes such as focal bone condensation and reparative osteopytes also would be noted. CT could determine the extent of the paraspinal or/and intrathecal abscesses precisely. Authors believe that CT is superior to conventional radiography in providing a specific diagnosis of the early or suspicious tuberculous spondylitis or spondylodiscitis. The differential diagnosis, indication and limitation were discussed.

关 键 词：结核病 脊椎结核 CT 

分 类 号：R529.204[医药卫生—内科学]