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目的 :探讨脊柱结核的CT影像学特征。方法 :回顾性分析 76例脊柱结核的CT表现 ,总结其影像学特征。结果 :76例脊柱结核均有不同程度的骨质破坏 ,6 2例有高密度死骨块 ;椎体骨质密度增高 5 9例 ;椎间盘破坏 48例 ;椎旁、腰大肌脓肿 6 7例 ;椎管狭窄 35例 ;椎体压缩 47例。脊髓造影CT扫描 (CTM ) 3例中 2例显示脊髓受压移位 ,蛛网膜下腔炎性粘连。结论 :CT能够较好地显示脊柱结核的特征性表现 ,特别是在椎体及附件骨质破坏程度、侵及椎管情况、椎旁软组织显示方面优于常规X线平片检查 ,对死骨片、骨质硬化及冷脓肿钙化的显示优于磁共振成像 (MRI)。
Objective: To investigate the CT imaging features of spinal tuberculosis. Methods: The CT findings of 76 cases of spinal tuberculosis were retrospectively analyzed, and their imaging features were summarized. Results: There were different degrees of bone destruction in 76 cases of spinal tuberculosis, 62 cases of high-density dead bone, 59 cases of vertebral bone density increase, 48 cases of discectomy, 6 cases of paravertebral and psoas muscle abscess ; Spinal stenosis in 35 cases; 47 cases of vertebral compression. Myelography CT scan (CTM) 3 cases 2 cases showed spinal cord compression displacement, subarachnoid inflammatory adhesions. Conclusion: CT can show the characteristic features of spinal tuberculosis, especially in vertebral body and appendix bone destruction, invasion and spinal canal, paravertebral soft tissue display superior to conventional plain radiography, Slides, calcification of bone sclerosis and cold abscess are superior to magnetic resonance imaging (MRI).