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目的综合分析脊椎结核的X线、MRI征象,以探讨其临床诊断价值。方法回顾分析22例经手术、穿刺或临床随访证实为脊椎结核患者的X线、MRI。结果 X线8例仅表现椎体骨质疏松,10例见椎体骨质破坏,4例脊椎压缩骨折,10例椎旁软组织肿胀,4例脊椎曲度后凸畸形,8例椎间隙变窄,4例脊椎正、侧位片未见异常;MRI 22例患者共有50个病椎,50个病椎中,40个病椎呈明显不同程度骨质破坏,4例椎体压缩骨折,15例椎弓根受累,22例均见椎旁软组织肿胀,14例见硬膜外脓肿,12例椎间盘变扁膨出,50个病椎均有不同程度骨炎。结论 MRI对于早期脊椎结核的诊断有重要的临床价值。
Objective To analyze the X-ray and MRI signs of spinal tuberculosis in order to explore its clinical value. Methods Retrospective analysis of 22 cases of spinal tuberculosis confirmed by surgery, puncture or clinical follow-up X-ray, MRI. Results X-ray showed only 8 cases of vertebral osteoporosis, 10 cases of vertebral bone destruction, 4 cases of vertebral compression fractures, 10 cases of paravertebral soft tissue swelling, 4 cases of spinal kyphosis, 8 cases of intervertebral space narrowing , 4 cases of spine were positive, no abnormalities in the lateral radiographs. Twenty-two of the 22 patients with MRI had 50 diseased vertebrae. Of the 50 diseased vertebrae, 40 of the 50 diseased vertebrae presented with varying degrees of bone destruction, 4 vertebral compression fractures and 15 Pedicle involvement, 22 cases were paravertebral soft tissue swelling, 14 cases of epidural abscess, 12 cases of flat disc deformity, 50 vertebrae have varying degrees of osteitis. Conclusion MRI has important clinical value in the diagnosis of early spinal tuberculosis.