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目的探讨CT检查对关节结核的诊断意义。方法回顾性分析21例骨结核病例的CT影像资料。结果脊柱结核10例,髋关节5例,膝关节结核3例,肘关节2例,腕关节1例。CT表现:骨性结核表现为关节间隙边缘变尖,相邻部位软组织肿胀,骨质疏松,骨质破坏,寒性脓肿。滑膜型关节结核显示关节囊增厚,关节腔积液,周围软组织肿胀。结论CT能较好显示骨关节结核的各种直接征象和间接征象,是诊断骨关节结核的重要手段。
Objective To investigate the diagnostic significance of CT examination in tuberculosis of the joint. Methods The CT images of 21 cases of tuberculosis were analyzed retrospectively. Results 10 cases of spinal tuberculosis, 5 cases of hip joint, knee tuberculosis in 3 cases, 2 cases of elbow, wrist 1 case. CT manifestations: bone tuberculosis showed the edge of the joint gap becomes sharp, adjacent parts of the soft tissue swelling, osteoporosis, bone destruction, cold abscess. Synovial joint tuberculosis showed articular capsule thickening, joint effusion, swelling of soft tissue around. Conclusion CT can better display all kinds of direct signs and indirect signs of tuberculosis of bone and joint, is an important means of diagnosis of tuberculosis of the bone and joint.