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。
Objective：This study is aimed to investigate the CT features of bone destruction types in spinal tuberculosis and to discuss the value of the CT features. Methods： CT findings of 81 patients with spinal tuberculosis,proved by surgery and pathological or clinical methods, were retrospectively analyzed. Five types of bone destruction were classified, namely fragmentary,osteolytic, focal destruction sclerosing, subperiosteal and mixed. CT findings of all five types of destruction were documented and analyzed. Results： 202 involved vertebrae were found and divided into： fragmentary 17 （8.4%）,osteolytic 76 （37. 6%）, focal destruction sclerosing 57 （28. 2%）,subperiosteal 25 （12. 4%）,and mixed 27 （13.4 %）. The osteolytic type and focal destruction sclerosing type were more common than the others. Conclusions：Differ- ent types of bone destruction in spinal tuberculosis have their own unique CT features. The component ratios of bone de- struction types are not identical in different parts of the spine. The focal destruction sclerosing is mostly involving lumbar spine while osteolytic type is the most common type in cervical and thoracic spine. CT scan plays an important role in diag- nosis and surgical treatment of spinal tuberculosis.
出处
《放射学实践》
北大核心
2015年第5期591-595,共5页
Radiologic Practice
关键词
结核
脊柱
骨质破坏
体层摄影术
X线计算机
Tuberculosis, spinal
Bone destruction
Tomography, X-ray computed
