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脊柱转移瘤的CT影像特点及鉴别诊断
引用本文:盛茂 放射科,安徽合肥,,李萍珍 放射科,安徽合肥,,晋丹丹 放射科,安徽合肥,,吴瑞祥 放射科,安徽合肥,.脊柱转移瘤的CT影像特点及鉴别诊断[J].中国CT和MRI杂志,2013,11(4):104-106.
作者姓名:盛茂 放射科  安徽合肥    李萍珍 放射科  安徽合肥    晋丹丹 放射科  安徽合肥    吴瑞祥 放射科  安徽合肥  
作者单位:盛茂 (安徽省合肥市第二人民医院(广德路院区)放射科,安徽合肥,230011); 李萍珍 (安徽省合肥市第二人民医院(广德路院区)放射科,安徽合肥,230011); 晋丹丹 (安徽省合肥市第二人民医院(广德路院区)放射科,安徽合肥,230011); 吴瑞祥 (安徽省合肥市第二人民医院(广德路院区)放射科,安徽合肥,230011);
摘    要:目的探讨脊柱转移瘤的CT影像特点,提高对本病诊断的准确性。方法回顾性研究52例有完整临床资料或经手术病理证实的脊柱转移瘤患者的CT表现。结果 52例脊柱转移瘤中,溶骨型26例(50%),成骨型20例(38.4%),混合型6例(11.5%),病变椎体147个,累及附件64个,椎管受累10处,椎旁软组织肿块21处,合并病理性骨折27处。结论不同类型的脊柱转移瘤其CT影像表现各有特点,肺癌是脊柱转移瘤最常见的原发肿瘤,脊柱转移瘤需与骨髓瘤、骨结核及淋巴瘤等鉴别。

关 键 词:脊柱  转移瘤  X线计算机  鉴别诊断

CT Imaging Features And Antidiastole of Metastatic Spine Tumor
Institution:SHENG Mao, LI Ping-zhen, ZENG Dan-dan, et al. Department of Radiology, the Second People's Hospital of Hefei City (Guangde Road Hospital Branch), Hefei Anhui 230011, China
Abstract:Purpose Discussion on CT Imaging features and antidiastole?of metastatic spine tumor, to improve the accuracy of the diagnosis. Methods 52 cases were studied retrospectively with complete clinical material or by operation of the pathology of the spine patients with metastatic CT performance. Results In 52 cases of metastatic spine tumor, osteolytic type 26 (50%), osteogenesis type 20 (38.4%), mixed type 6 (11.5%), ve.'tebral body lesions 147, involving the annexes 64, involvement of the vertebral Canal 10, 21 paraverte- bral soft tissue masses, merging pathologic fracture of 27. Conclusion Different types of metastatic spine tumor CT image have different characteristics, lung cancer is the most common primary tumor of metastatic spine tumor, metastatic spine tumor? need to distinguish with myeloma, hone tuberculosis and lymphoma.
Keywords:Spine: Metastatic: X-ray computed  Antidiastole
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