作者回顾分析了临床疑诊和确诊为脊柱结核的30例CT扫描。男17例,女13例,平均年龄38岁。临床确诊23例,疑诊7例,其中5例经手术减压活检确诊,另2例在CT导向下活检病理确诊结核病。在脊柱病变部位行间隔4mm连续扫描,大部分病例未行静脉增强扫描。依据以下标准评价CT:①脊椎受累的存在和范围。②椎体和/或附件的累及。③骨破坏类型。④椎旁肿块。⑤硬膜外肿块和相关神经学缺损的出现。最常见病变部位为胸 The authors retrospectively analyzed 30 cases of clinically suspected and diagnosed spinal tuberculosis CT scans. There were 17 males and 13 females, with an average age of 38 years. Of the 23 clinically diagnosed cases, 7 were suspected, of which 5 were confirmed by surgical decompression biopsy and the other 2 were pathologically confirmed by CT-guided biopsy. Spinal lesions in the interval 4mm continuous scan, the majority of cases without intravenous contrast enhanced scan. CT was evaluated according to the following criteria: ① The presence and extent of spine involvement. ② vertebral body and / or attachment involvement. ③ bone destruction type. ④ paravertebral mass. ⑤ epidural mass and related neurological defects appear. The most common lesion for the chest