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脊柱结核的分型及影像学诊断与鉴别诊断 被引量:5

Genotyping and imaging diagnosis and differential diagnosis of spinal tuberculosis
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摘要 目的:研究脊柱结核的分型,了解该病在进展和治疗中影像学特征,为临床提供有价值的诊断与鉴别诊断。材料与方法:回访22例经临床证实或手术确诊为脊柱结核的完整的影像学资料进行分析。结果:单一椎体发病中央型1例,两个椎体发病11例,超过两个椎体受累10例。单纯胸椎受累6例,单纯腰椎受累10例,胸腰椎同时受累6例。合并椎旁脓肿16例,合并泌尿系结核4例,合并肺结核及脑结核各1例。结论:脊柱结核在影像上具有一定特征性,CT与MRI联合检查能全面显示其特征,是诊断脊柱结核的重要手段,综合影像分析有利于其诊断与鉴别诊断。 Purpose: Study of spinal tuberculosis genotyping,Understand the imaging features of the disease progress and treatment,Valuable for clinical diagnosis and differential diagnosis.Materials and Methods: Return visit to the 22 cases confirmed by clinical or surgical diagnosed with spinal tuberculosis complete imaging data analysis.Results: Single vertebral incidence of cases of central,The two vertebral incidence 11 cases,More than two vertebral involvement in 10 cases.Simple thoracic involvement in six cases,Simple lumbar involvement in 10 cases,Thoracolumbar simultaneously involved in six cases.Merger paraspinal abscess in 16 cases,The combined urinary tuberculosis four cases,And 1 case of pulmonary tuberculosis and cerebral tuberculosis.Conclusion: Tuberculosis of the spine in the image with a certain characteristic,CT and MRI the Joint Inspection comprehensive display characterized,Is an important means for the diagnosis of spinal tuberculosis,Comprehensive image analysis beneficial to the diagnosis and differential diagnosis.
作者 黄依莲
出处 《现代医用影像学》 2013年第2期121-124,共4页 Modern Medical Imageology
关键词 脊柱结核 CT MRI 影像诊断 Spinal tuberculosis CT MRI Diagnostic Imaging
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