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通过对６５例脊柱结核病人的Ｘ线平片、ＣＴ片和手术进行对照分析，以评估ＣＴ对脊柱结核的诊断价值，结果显示：Ｘ线平片可见骨质破坏、死骨形成５１例，椎旁或腰大肌脓肿３０例，椎间盘受累４１例，可疑椎管狭窄５例，疑诊肿瘤３例。ＣＴ可见骨质破坏６３例、死骨形成６０例，椎间盘破坏５０例，椎旁或腰大肌脓肿４９例，椎旁干酪样变或瘢痕形成１２例，椎管狭窄３４例。Ｘ线平片和ＣＴ与术后诊断符合率分别为７８４６％（５１／６５）和１００％（６５／６５）（Ｐ＜００１）。作者认为Ｘ线平片仍然是诊断脊柱结核的基础，ＣＴ可提供更精确的术前参考资料，对早期诊断和决定治疗方式包括手术入路、病灶清除及椎管减压的范围等具有重要意义。
Through the analysis of 65 cases of spinal tuberculosis patients by X-ray, CT and surgical analysis to evaluate the diagnostic value of CT on spinal tuberculosis, the results showed: X-ray showed bone destruction, sequestrum formation in 51 cases, vertebral 30 cases of paravertebral or psoas muscle abscess, 41 cases of intervertebral disc involvement, 5 cases of suspicious spinal canal stenosis and 3 cases of suspected tumor. CT showed bone destruction in 63 cases, 60 cases of sequestrum formation, disc destruction in 50 cases, paravertebral or psoas muscle abscess in 49 cases, paraspinal caseous or scar formation in 12 cases, 34 cases of spinal stenosis. The coincidence rates of X - ray, CT and postoperative diagnosis were 7846% (51/65) and 100% (65/65) respectively (P <001). The authors believe that X-ray is still the basis for the diagnosis of spinal tuberculosis, CT can provide more accurate preoperative reference information for the early diagnosis and determine the treatment methods, including surgical approach, lesion clearance and the scope of spinal decompression is important .