CT与MRI影像学诊断脊柱结核的差异

Difference of CT and MRI in Diagnosis of Spinal Tuberculosis

目的通过对比研究,探讨CT与MRI诊断脊柱结核影像学表现及其诊断价值。方法选取我院2014年5月至2014年12月被确诊为脊柱结核的患者32例,对其CT、MRI资料进行回顾性分析。结果患者的病变部位分别出现在颈椎、胸椎和腰椎;CT对骨质破坏和椎盘软组织损伤的确诊率低于MRI,对椎间盘损伤的确诊率高于MRI,P<0.05,差异具有统计学意义。结论CT与MRI诊断脊柱结核的影像学各有差异,两者结合使用能够提高确诊率,及时进行早期的预防和治疗,从而提高治疗效果。

Objective To investigate the imaging features and diagnostic value of MRI and CT in diagnosis of spinal tuberculosis by comparing study. Methods From May 2014 to December 2014, 32 patients with spinal tuberculosis were diagnosed as patients with spinal tuberculosis, and the data of MRI and CT were retrospectively analyzed. Results Patients with lesions appeared respectively in the cervical, thoracic and lumbar spine; CT diagnosis of bone destruction and vertebral disc soft tissue injury rate is lower than that of MRI, the intervertebral disc injury diagnosed rate higher than that of MRI, P〈0.05, the difference is statistical y significant. Conclusion CT and MRI in the diagnosis of spinal tuberculosis imaging studies are different, and combination of both can improve the diagnosis rate, can prevent and treat in a timely manner, so as to improve the treatment effect.