摘要
目的探讨脊柱结核的影像学(CR或DR、CT及MRI)诊断价值并进行临床分析。方法对68例经临床手术或病理证实且影像学资料完整的脊柱结核进行分析。结果中心型40例;边缘型16例;韧带下型7例;附件型5例。CR(DR)显示:椎体溶骨性骨质破坏55例,椎间隙变窄60例,椎旁梭形软组织密度影22例,脊柱后突畸形31例。CT显示:椎体穿凿样骨质破坏12例,边缘破坏30例,附件破坏12例,椎旁软组织块影46例;MRI显示:椎体呈斑片状或弥漫性长T1、长T2信号影38例;椎旁软组织块影38例;椎间隙变窄32例;脊柱后突畸形30例,脊髓水肿12例。结论影像学对脊柱结核的诊断具有特征性,对临床治疗、评价疗效具有重要价值。
Objective To explore the diagnostic value of imaging about spinal tuberculosis(CR or DR,CT and MRI) and carry out clinical analysis.Methods To analyse 68 cases with full imaging data of spinal tuberculosis which is proved by surgery or pathology.Results 40 cases with central type;16 cases with peripheral type;7 cases with subligamentous extrusion type;5 cases with attachment type.CR(DR) showed:55 cases with vertebral osteolytic bone destruction;60 cases with intervertebral space narrowing;22 cases with paravertebral spindle soft tissue density image;31 cases with kyphosis.CT showed:12 cases had vertebral bone destruction in the form of digging;30 cases with edge destruction;12 cases with annex damage;46 cases with paravertebral soft tissue shadow.MRI showed:Vertebral bodies have patchy or diffuse long T1 and long T2 signal in 38 cases;Paravertebral soft tissue mass shadow in 38 cases;Intervertebral space narrowing in 32 cases;Kyphosis in 30 cases;Spinal cord oedema in 12 cases.Conclusion Imaging of spinal tuberculosis has apparent diagnosis characteristics and great value on clinical treatment and assessment of efficacy.
出处
《中外医疗》
2010年第24期15-17,共3页
China & Foreign Medical Treatment
关键词
脊柱结核
放射线
计算机断层扫描
磁共振成像
临床研究
Tuberculosis Spinal Column
X-ray
Tomography
X-ray Computed
MR Imaging
Clinical Study