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X线平片、CT、MRI对脊柱结核的诊断价值 被引量:18

DIAGNOSTIC VALUE OF MRI、CT、PLAIN RADIOGRAPHY IN TUBERCULOUS SPONDYLITIS
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摘要 目的 :比较研究X线平片、CT、MRI对脊柱结核的诊断价值。材料和方法 :本文收集有完整影像学资料(X线平片、CT、MRI)的脊柱结核 35例 ,包括颈椎结核 12例 ,胸椎结核 8例 ,腰椎结核 15例。分析了脊柱结核的X线平片、CT、MRI的影像学表现。结果 :X线平片是观察脊柱结核发生部位、椎间隙变窄、脊柱后突畸形的较好方法 ;CT是评价椎骨破坏和类型、椎旁脓肿和钙化、以及骨性椎管病变的可靠检查方法 ;而MRI特别是增强MRI ,是观察早期椎体骨质破坏、椎管内侵犯和脊髓病变最敏感的诊断方法。结论 :X线平片结合CT扫描可对脊柱结核进行全面细致的观察 ,必要时应用MRI作为补充。 Objective:To study the diagnostic value of MRI,CT,plain radiography in tuberculous spondylitis.Methods:Retrospective evaluation was made in 35 patients with known or finally diagnosed vertebral tuberculosis.All cases have complete image data (X-ray plain、CT、MRI).12 of them were cervical tuberculosis,8 of them were thoracic tuberculosis,15 of them were lumbar tuberculosis.The radiographic plain,CT and MRI appearance of spinal tuberculosis has been analyzed.Results:X-ray plain is a good means to observe the site of spinal tuberculosis,intervertebral space,vertebral malformation projecting behind,CT is a reliable method to evaluate bone destruction and its pattern,paravertebral soft-tissue masses and its calcification,disease of bony spinal canal.MRI,especially contrast enhancement MRI,is the most sensitive way to reveal early bone destruction,spinal canal extension and spinal cord.Conclusions:The radiographic plain with CT can roundly show spinal tuberculosis,if necessary,combined with MRI.
出处 《中国现代医学杂志》 CAS CSCD 2001年第6期51-52,54,共3页 China Journal of Modern Medicine
关键词 脊柱结核 X线摄影 磁共振成像 诊断 Vertebral Tuberculosis Radiography Tomography X-ray Computed Magnetic Resonance Imaging Diagnosis
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