论文部分内容阅读
目的:探讨成人非典型性脊柱结核的影像学特征。方法:1998年1月至2006年5月收治的成人脊柱结核的患者中资料者完整200例,其中19例为非典型性脊柱结核,椎间盘型2例,椎体型4例,椎弓型4例,全椎骨型2例,跳跃型4例,多发性骨结核型3例。回顾分析其影像学特征。结果:非典型性脊柱结核主要的影像学特征为:①椎体骨赘形成,主要见于椎间盘型及椎体型;②椎体前柱破坏,见于椎体型;③椎体终板虫蚀样破坏,见于椎间盘型和椎体型;④椎旁软组织影中脓液成分,见于各型;⑤连续单侧骨破坏,见于椎弓型;⑥影像学破坏重,而全身症状轻,即影像学表现与症状不对称,见于多发性骨结核型和跳跃型。根据上述影像学特征可以与脊柱转移癌相鉴别。结论:了解非典型性脊柱结核的影像学特征有助于临床诊断和鉴别诊断,减少或避免误诊误治。
Objective: To investigate the imaging features of atypical spinal tuberculosis in adults. Methods: The data of 200 adult patients with spinal tuberculosis admitted to our hospital from January 1998 to May 2006 were enrolled in this study. Among them, 19 were atypical spinal tuberculosis, 2 were intervertebral disc type, 4 were vertebral body type, 4 were vertebral arch type For example, 2 cases of vertebral type, jumping type in 4 cases, multiple type of bone tuberculosis in 3 cases. Retrospective analysis of its imaging features. Results: The main imaging features of atypical spinal tuberculosis were: (1) osteophyte formation of vertebral body, mainly found in disc type and vertebral type; (2) destruction of anterior vertebral column in vertebral type; (3) Destruction, seen in the intervertebral disc and vertebral body type; ④ paravertebral soft tissue shadow in the pus, found in various types; ⑤ continuous unilateral bone destruction, found in the pedicle; ⑥ imaging damage, and systemic symptoms of light, that is, imaging Symptoms and symptoms of asymmetry, seen in multiple tuberculosis and skip type. According to the above imaging features can differentiate with spinal metastases. Conclusion: To understand the radiological features of atypical spinal tuberculosis can help to diagnose and differentiate atypical spondylosis and reduce or avoid misdiagnosis and mistreatment.