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目的 分析老年人脊柱结核在放射影像上的表现特点。 方法 2 6例老年脊柱结核患者全部进行了X线平片检查 ,9例CT检查 ,6例MRI检查 ,11例同时进行了CT和MRI检查 ;并与 30例非老年脊柱结核患者的影像表现对比分析。 结果 老年组均可见椎体骨质破坏和椎间隙变窄 ;2 0例CT检查 ,16例有椎旁脓肿形成 ,5例椎体内有小的高密度死骨 ;17例MRI检查 ,3例有明显椎旁脓肿 ,11例可见椎旁小脓肿形成。 结论 老年人脊柱结核有时在影像上表现不典型 ,椎体骨质破坏主要位于靠近椎体终板处 ,一般累及相邻两个以上椎体和椎间盘 ,即使发现很小的椎旁脓肿也是结核病的重要诊断依据。
Objective To analyze the manifestations of spinal tuberculosis in the elderly on radiological images. Methods Twenty-six elderly patients with spinal tuberculosis were examined by X-ray plain film, 9 cases of CT and 6 cases of MRI. CT and MRI were performed in 11 cases. The imaging findings of 30 cases of non-elderly patients with spinal tuberculosis were compared analysis. Results In the elderly group, vertebral bone destruction and narrowing of the intervertebral space were observed. CT was performed in 20 cases, paravertebral abscess was formed in 16 cases, small high density sequestrum in 5 cases, MRI in 17 cases, Obvious paravertebral abscess, 11 cases of paravertebral small abscess formation. Conclusions Spine tuberculosis in the elderly is sometimes not typical in the image. The destruction of vertebral bone is mainly located near the endplate of the vertebral body, which usually involves more than two adjacent vertebral bodies and intervertebral discs. Even small paravertebral abscesses are found to be tuberculosis Important diagnostic basis.