脊柱结核骨质破坏类型的CT表现分析

Analysis of CT Manifestations of Bone Destruction in Spinal Tuberculosis

目的:根据CT与MRI影像学诊断脊柱结核的临床效果,分析两者的临床表现及其价值。方法:选取本院2016年1月~2019年1月确诊为脊柱结核的50例患者,所有患者均经CT与MRI影像学诊断,对比分析CT与MR影像学的表现效果。结果:MRI显示早期病变的敏感度更高,明确病变累及范围更清晰;而表现病变内钙化、死骨、骨质破坏等CT更为精确且清晰。结论:CT与MRI均可精确且清晰表现骨质结核的各征象情况,CT检出结核骨质破坏与死骨具有优势,MRI优势为检出椎旁脓肿、累及椎间盘以及图像质量高等,而临床上将其联合应用,更有利于诊断脊柱结核疾病的各病理阶段情况。

Objective:To analyze the clinical manifestations and value of CT and MRI in the diagnosis of spinal tuberculosis.Methods:50 patients diagnosed with spinal tuberculosis in our hospital from January 2016 to January 2019 were selected.All patients were diagnosed by CT and MRI imaging,and the results of CT and MR imaging were compared and analyzed.Results:MRI showed a higher sensitivity of early lesions and a clearer range of lesion involvement.CT findings of intra-lesion calcification,dead bone and bone destruction were more accurate and clear.Conclusion:Both CT and MRI can accurately and clearly show the various signs of tuberculous tuberculosis.CT has advantages in the detection of tuberculous bone destruction and dead bone.MRI has advantages in the detection of paraspinal abscess,intervertebral disc involvement and high image quality.The above combined application is more conducive to the diagnosis of spinal tuberculosis disease at various pathological stages.