CAJ | 학술논문

目的分析脊椎、脊膜、脊髓结核的MRI表现.方法回顾性分析经病理和临床治疗证实的50例脊椎、脊膜、脊髓结核患者的MR平扫及增强扫描资料.结果 40例脊椎结核中,显示病变椎体137个,椎间盘受累52个,椎旁冷脓肿30处,椎管内脓肿并脊髓受压23例,椎体病理性骨折29个,脊柱后突畸形12例,附件破坏2例;脊膜结核4例;结核性脊髓炎4例;脊膜合并脊髓结核2例;合并脊髓空洞4例.结论 MRI(特别是MRI增强)能准确、早期显示脊椎、脊膜和脊髓结核的形态学和病理学改变,为临床治疗提供可靠依据.
목적 분석척추、척막、척수결핵적MRI표현.방법 회고성분석경병리화림상치료증실적50례척추、척막、척수결핵환자적MR평소급증강소묘자료.결과 40례척추결핵중,현시병변추체137개,추간반수루52개,추방랭농종30처,추관내농종병척수수압23례,추체병이성골절29개,척주후돌기형12례,부건파배2례;척막결핵4례;결핵성척수염4례;척막합병척수결핵2례;합병척수공동4례.결론 MRI(특별시MRI증강)능준학、조기현시척추、척막화척수결핵적형태학화병이학개변,위림상치료제공가고의거.
Objective To analyze MRI features of tuberculosis of spinal vertebra, spinal meninges and spinal cord. Methods Fifty cases with tuberculosis of spinal vertebra, spinal meninges or spinal cord confirmed by clinical and pathological evaluation were collected in this study. Findings of plain and Gd-DTPA enhanced MRI were retrospectively reviewed. Results In 40 patients with spinal vertebra tuberculosis, there were 137 involved vertebrae, 52 involved intervertebral discs, 30 peri-vertebra cold abscesses, 23 intraspinal abscesses and compression of spinal cord, 29 athological fractures, 12 posterior process of spinal columns, 2 involved appendix. There were 4 cases of spinal meninges tuberculosis, 4 of tuberculous myelitis and 2 combination of tuberculosis of spinal meninges and spinal column. Conclusion MRI, especially the contrast MRI, could accurately and early demonstrate the morphological and pathological changes of tuberculosis of spinal vertebra, spinal meninges and spinal cord.