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目的分析总结脊柱结核的CT表现。方法分析经手术病理及临床证实的脊柱结核30例的多层螺旋CT表现。结果 30例脊柱结核中颈椎结核4例,腰椎结核18例,胸椎结核8例。30例均有不同程度骨质破坏,10例有死骨形成,8例有椎旁及腰大肌脓肿,6例椎间盘破坏,6例椎管变形狭窄。结论脊柱结核CT诊断优于X线平片,可直观显示椎旁脓肿及椎间盘等改变。骨质破坏形态多样,但有典型CT特征。并要与其他病变鉴别诊断。
Objective To analyze and summarize the CT findings of spinal tuberculosis. Methods Thirty cases of spinal tuberculosis confirmed by surgery and pathology were analyzed by multislice spiral CT. Results 30 cases of spinal tuberculosis in cervical tuberculosis in 4 cases, 18 cases of lumbar tuberculosis, thoracic tuberculosis in 8 cases. All 30 cases had different degrees of bone destruction, 10 cases had sequestrum formation, 8 cases had paravertebral and psoas muscle abscess, 6 cases suffered discectomy and 6 cases had spinal stenosis. Conclusions CT diagnosis of spinal tuberculosis is superior to X-ray plain imaging, which can directly show the changes of paravertebral abscess and intervertebral disc. Various forms of bone destruction, but typical CT features. And to differentiate diagnosis with other lesions.