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目的:探讨脊柱结核的CT表现,以提高诊断率。方法:对2000年—2008年我院收治并确诊的56例脊柱结核患者CT表现进行回顾性分析总结。结果:脊柱结核CT表现为四种不同形式骨质破坏,其中以椎体不规则蜂窝状骨质破坏为主12例,局限溶骨性骨质破坏为主14例,虫蚀状骨质破坏为主11例及碎裂样骨质破坏为主19例,常伴斑点、沙砾状多发死骨,脊柱结核椎间盘常受累,椎间隙变窄甚至消失,常合并椎旁脓肿及钙化。结论:CT对脊柱结核的诊断及鉴别诊断具有重要价值,并可以全面观察脊柱结核累及范围及发现较早期病变。
Objective: To explore the CT findings of spinal tuberculosis in order to improve the diagnosis rate. Methods: The CT findings of 56 cases of spinal tuberculosis admitted to our hospital from 2000 to 2008 were analyzed retrospectively. Results: Spinal tuberculosis CT showed four different forms of bone destruction, including vertebral irregular honeycomb bone destruction in 12 cases, localized osteolytic bone destruction mainly in 14 cases, worm-eaten bone destruction as The main 11 cases and fracture-like bone destruction in 19 cases, often accompanied by spots, gravel-prone sequestrum, spinal tuberculosis often affected disc, intervertebral space narrowing or even disappear, often associated with paravertebral abscess and calcification. Conclusion: CT is of great value in the diagnosis and differential diagnosis of spinal tuberculosis, and can comprehensively observe the scope of spinal tuberculosis and detect the early lesions.