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目的:针对超声对脊柱结核合并寒性脓肿的临床诊断及治疗中的应用,谈一谈经验和认识。方法:结合X线摄片、CT、MR1的影像表现,利用超声诊断及超声引导下穿刺技术,研究每个病例声像图特征并进行分类总结。结果:超声对脊柱结核合并寒性脓肿的诊断病理符合率达95%左右。结论:超声对椎体旁及远处流注脓肿的范围、位置、脓液量、鉴别诊断、超声引导下穿刺抽液、药物灌注及预后评估均提供了可靠的参考信息。
Objective: To discuss the application of ultrasound in the clinical diagnosis and treatment of spinal tuberculosis complicated with cold abscess, talk about experience and understanding. Methods: According to the imaging manifestations of X-ray, CT and MR1, sonographic features of each case were studied by ultrasonic diagnosis and ultrasound guided puncture technique. Results: The coincidence rate of ultrasonic diagnosis of tuberculosis with cold abscess was about 95%. CONCLUSION: Ultrasound provides a reliable reference for the range, location, quantity of pus, differential diagnosis, ultrasound-guided aspiration, drug infusion and prognosis evaluation of abscesss located at the periphery of vertebral body and beyond.