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脊柱结核CT、MRI检查的临床应用价值
引用本文:王克善,李奉霞,徐建伟,尹峰,雷鸣,杜迎节. 脊柱结核CT、MRI检查的临床应用价值[J]. 社区医学杂志, 2011, 9(10): 5-7
作者姓名:王克善  李奉霞  徐建伟  尹峰  雷鸣  杜迎节
作者单位:泰安市结核病防治院,山东,271000
摘    要:目的探讨脊柱结核的CT、MR临床应用价值。方法回顾性分析经临床或病理证实的44例脊柱结核病人资料。结果脊柱结核CT表现为骨质破坏、椎旁脓肿形成、椎管受累等;MRI表现为骨质破坏、椎间盘破坏、椎旁脓肿形成、椎管受累、韧带下播散等。MRI可清楚显示脊柱结核的骨髓水肿、椎体破坏、椎旁脓肿、间盘受累和椎管内改变。结论脊柱结核病变具有多样性,CT和MRI影像学各有特征,CT在显示死骨、钙化等方面具有优势,而MRI在显示韧带下播散,硬膜及脊髓侵犯等方面具有优势,两者综合分析有助于脊柱结核的诊断和鉴别诊断。

关 键 词:脊柱结核  磁共振成像  计算机断层扫描

The clinical value of CT and MRI examination in vertebral tuberculosis
WANG Ke-shan,LI Feng-xia,XU Jian-wei,YIN Feng,LEI Ming,DU Ying-jie. The clinical value of CT and MRI examination in vertebral tuberculosis[J]. journal of community medicine, 2011, 9(10): 5-7
Authors:WANG Ke-shan  LI Feng-xia  XU Jian-wei  YIN Feng  LEI Ming  DU Ying-jie
Affiliation:WANG Ke-shan,LI Feng-xia,XU Jian-wei,YIN Feng,LEI Ming,DU Ying-jie Imaging center,Tuberculosis Hospital of Taian,Shangdong 27100,China
Abstract:Objective To explore The clinical value of CT and MRI examination in vertebral tuberculosis.Methods44 patients with vertebral tuberculosis proved by clinic or pathology were analyzed retrospectively.ResultsThe CT features of vertebral tuberculosis were bone destruction,paraspinal abscess,spinal canal involvement.The MRI features of vertebral tuberculosis were bone destruction,intervertebral disc destruction,paraspinal abscess,spinal canal involvement,sub-ligamental spread.MRI features of vertebral tuberculo...
Keywords:Vertebral tuberculosis  MRI  CT  
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