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目的探讨脊柱结核的CT检查的影像学表现及诊断价值。方法选择我院2009年12月～2012年12月收入院的脊柱结核患者37例，对所有患者的临床 CT影像学资料进行回顾性分析。结果病变部位：颈椎5例，胸椎12例，腰椎结核20例。单个椎体病变14例，多个椎体病变23例，最多累及4个椎体。 CT表现：脊柱结核的CT表现为骨质破坏、椎管狭窄变形、死骨形成、椎旁脓肿以及椎体压缩改变等。结论 CT检查用于脊柱结核的诊断和鉴别诊断，由于其分辨率高，能非常明晰检查出椎体和附件的骨质破坏，同时也能检查病变范围，并且明显提高了病变术前评价与术后分析的效果。“,”Objective Explore tuberculosis of the spine imaging manifestations and diagnostic value of CT examination. Methods Select our hospital from January 2009 to December 2009, 37 cases of spinal tuberculosis patients admit ed to the clinical CT imaging data of al patients were retrospectively analyzed. Results 12 cases lesion: 5 cases of cervical vertebra, thoracic vertebra, lumbar vertebra tuberculosis (TB) 20 cases. Single vertebral body lesions in 14 cases, multiple vertebral body lesions in 23 cases, involving the most 4 vertebral body. CT manifestations: CT manifestation of spinal tuberculosis of bone destruction and deformation of spinal canal stenosis, beside the dead bone formation, vertebral abscess and vertebral body compression change, etc. Conclusion CT examination for the diagnosis and dif erential diagnosis of spinal tuberculosis, due to its high resolution, can be very clear to check the vertebral body bone destruction and accessories, at the same time also can check the scope of lesions, and significantly improve the pathological changes of preoperative assessment and postoperative analysis results.