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目的总结儿童脊柱结核的CT影像特点,提高诊断正确率。方法回顾性分析经手术、病理检查或抗结核治疗痊愈的30例儿童脊柱结核的CT影像资料,分析儿童脊柱结核的特征性影像表现。结果儿童脊柱结核椎体受累以胸椎多见64.4%(58/90);其次为腰椎受累,占26.6%(24/90);而颈椎受累占7.8%(7/90)。病变椎体骨质破坏主要为中心型63.3%(19/30),以边缘性为主的椎体破坏率10.0%(3/30)。而后凸畸形发生率达76.7%(23//30)。结论儿童脊柱结核在CT上有一定特异性表现,胸椎受累常见,主要为椎体中心型骨质破坏,多致儿童脊柱后突畸形。
Objective To summarize the CT features of children with spinal tuberculosis and improve the diagnostic accuracy. Methods The CT images of 30 children with spinal tuberculosis who were cured by operation, pathology or anti-TB therapy were retrospectively analyzed. The characteristic imaging findings of children with spinal tuberculosis were analyzed. Results Spinal tuberculosis in children with pleural involvement more common 64.4% (58/90); followed by lumbar involvement, accounting for 26.6% (24/90); and cervical involvement accounted for 7.8% (7/90). Vertebral bone destruction lesions were mainly central type 63.3% (19/30), marginal vertebral body destruction rate of 10.0% (3/30). The incidence of kyphosis was 76.7% (23/30). Conclusion Children with spinal tuberculosis have some specific CT manifestations, thoracic involvement is common, mainly vertebral center type of bone destruction, more children with spinal kyphosis.