目的探讨CT对脊柱结核的诊断价值。方法收集83例经手术或穿刺活检病理证实的脊柱结核病例,对其CT表现进行回顾性分析。结果CT表现:83例均有椎体变形、骨质破坏及“死骨”;其中椎间盘破坏58例;椎旁脓肿54例;附件破坏9例;椎管骨破坏27例,椎管内脓肿5例。结论CT对脊柱结核诊断和鉴别诊断都很有意义。 Objective To investigate the diagnostic value of CT in spinal tuberculosis. Methods Totally 83 cases of spinal tuberculosis confirmed by surgery or biopsy were collected and their CT findings were retrospectively analyzed. Results The CT findings were as follows: 83 cases had vertebral body deformity, bone destruction and “dead bone”; 58 cases had disc disruption; 54 cases had paraspinal abscess; 9 cases had attachment destruction; 27 cases had spinal canal destruction, Abscess in 5 cases. Conclusion CT is of great significance in the diagnosis and differential diagnosis of spinal tuberculosis.