CR、CT、MRI在脊柱结核诊断中的临床价值Clinical value of CR,CT and MRI in spinal tuberculosis
李慎江;赵勇;吴寿臣;刘德斌;梁文杰;徐向东;崔学峰;蔺大伟;朱岩;朱峰;
摘要(Abstract)：
[目的]评价计算机X线摄影(CR)、计算机断层成像(CT)、磁共振成像(MRI)在脊柱结核诊断中的临床价值。[方法]回顾分析经病理证实的41例脊柱结核的影像学资料。41例做了CR,22例做了CT,31例均做了MRI。[结果]41例中38例CR片清晰显示骨质改变及椎间隙狭窄或消失,30例CR片可看到软组织阴影。22例CT均清晰显示了钙化,22例CT检查附件均未见明显异常,21例CT清晰显示椎体骨质改变,20例CT显示了软组织阴影。31例MRI均显示软组织均受累,附件均未见受累,其中29例椎间隙狭窄或消失。病变T1WI均以低信号为主,T2WI均以高信号为主。[结论]CR片仍为脊柱结核的基本检查方法,CT较好显示了结核的破坏范围及细微钙化,MRI对显示结核的侵犯范围、软组织异常及椎间盘异常有明显优势。三者相结合有助于脊柱结核的诊断。
关键词(KeyWords)： 脊柱;结核;CR;CT;磁共振成像
基金项目(Foundation):
作者(Author): 李慎江;赵勇;吴寿臣;刘德斌;梁文杰;徐向东;崔学峰;蔺大伟;朱岩;朱峰;
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