脊柱结核骨质破坏类型的CT表现分析

发布时间：2018-06-18 09:07

本文选题：结核 + 脊柱　；参考：《放射学实践》2015年05期

【摘要】：目的:探讨脊柱结核骨质破坏类型的CT表现特点及意义。方法:回顾性分析81例经手术病理或临床证实为脊柱结核患者的CT表现,将脊柱结核骨质破坏类型分为骨碎片型、溶骨型、局灶破坏硬化型、骨膜下型及混合型5种类型,分析脊柱结核骨质破坏类型及其构成比。结果:共分析202个病变椎体骨质破坏类型,其中骨碎片型17个(8.4%),溶骨型76个(37.6%),局灶破坏硬化型57个(28.2%),骨膜下型25个(12.4%),混合型27个(13.4%),以溶骨型和局灶破坏硬化型多见。不同节段椎体骨质破坏类型构成比不同,腰椎以局灶破坏硬化型多见,颈胸椎以溶骨型多见。结论:脊柱结核不同骨质破坏类型具有相应的CT表现特点,不同节段椎体骨质破坏类型构成比存在差异,CT检查对于脊柱结核的诊断和手术治疗具有重要意义。
[Abstract]:Objective: to investigate the CT features and significance of bone destruction in spinal tuberculosis. Methods: Ct findings of 81 patients with spinal tuberculosis proved by surgery, pathology or clinic were retrospectively analyzed. The types of bone destruction of spinal tuberculosis were divided into five types: bone fragment type, osteolytic type, focal destruction and sclerosis type, subperiosteal type and mixed type. To analyze the types of bone destruction of spinal tuberculosis and its constituent ratio. Results: totally 202 types of vertebral bone destruction were analyzed, of which 17 were bone fragments, 76 were osteolytic, 57 were focal destruction and sclerosing, 25 were subperiosteal, and 27 were mixed. Most of them were osteolytic and focal destruction sclerosing. The types of bone destruction in different segments of vertebrae were different. Focal destruction and sclerosing of lumbar vertebrae were common in lumbar vertebrae and osteolysis in cervical and thoracic vertebrae. Conclusion: different types of bone destruction of spinal tuberculosis have the corresponding CT features. The difference in the proportion of bone destruction types in different segments of vertebral body is of great significance for the diagnosis and surgical treatment of spinal tuberculosis.
【作者单位】：北京大学人民医院放射科;北京大学第三医院放射科;
【分类号】：R529.2;R816.8

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