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目的:研究比较X线平片、CT和MRI三种影像学方法对脊柱结核的诊断水平。方法:选取我院2012年2月至2014年2月脊柱结核患者50例作为研究对象,对其的X线平片、CT和MRI对脊柱结核的检出率进行对比分析。结果:判断死骨形成方面,CT占优势;相比于X线平片和CT,MRI在脊柱结核的显示敏感性方面更优;MRI在显示椎体破坏、椎旁脓肿和椎管受累及椎间盘受累方面准确度更高。结论:在脊柱结核的临床诊断方面,多种影像学技术各有优势,为实现诊断的准确性和有效性,应当对三种影像学技术进行综合分析运用。
Objective: To compare the diagnostic value of X-ray, CT and MRI in diagnosis of spinal tuberculosis. Methods: Fifty patients with spinal tuberculosis in our hospital from February 2012 to February 2014 were selected as the research object. The detection rate of spinal tuberculosis was compared between X-ray, CT and MRI. Results: CT was superior in determining the formation of sequestrum. Compared with plain radiography and CT, MRI was superior in displaying the sensitivity of spinal tuberculosis. MRI showed that vertebral body destruction, paravertebral abscess and spinal canal involvement and intervertebral disc Accuracy involved more. Conclusion: In the clinical diagnosis of spinal tuberculosis, a variety of imaging techniques have their own advantages. In order to achieve the accuracy and validity of the diagnosis, three kinds of imaging techniques should be comprehensively analyzed and applied.