CAJ | 학술논문

目的：探讨颈椎结核的影像学表现。方法：对颈椎影像学检查并经病理证实的颈椎结核患者16例进行回顾性分析。结果：16例中，椎体边缘型14例，椎体中心型2例；共累及27个椎体，主要集中在下颈段，以第5颈椎最为高发；14例边缘型颈椎结核中，13例出现椎间盘改变，2例中心型结核患者均未出现明显椎间盘改变；16例患者椎体破坏X线、C T 均表现为骨质密度高低不均，CT可见块状或砂粒样死骨形成，M RI显示多数病变椎体 T1WI呈低信号，少数呈等低混杂信号，T2WI上骨质破坏区多呈不均匀较高信号，炎性水肿区呈略高信号。2例患者行增强扫描，受累的5个椎体可见轻到中度均匀或不均匀强化，周边强化比较明显。结论：颈椎结核发病年龄集中于30岁以下及50岁以上，病变主要累及下颈段，其中以第5颈椎最为多发。多种影像学检查方法联合使用对颈椎结核的诊断和术前评估有十分重要的意义。
목적：탐토경추결핵적영상학표현。방법：대경추영상학검사병경병리증실적경추결핵환자16례진행회고성분석。결과：16례중，추체변연형14례，추체중심형2례；공루급27개추체，주요집중재하경단，이제5경추최위고발；14례변연형경추결핵중，13례출현추간반개변，2례중심형결핵환자균미출현명현추간반개변；16례환자추체파배X선、C T 균표현위골질밀도고저불균，CT가견괴상혹사립양사골형성，M RI현시다수병변추체 T1WI정저신호，소수정등저혼잡신호，T2WI상골질파배구다정불균균교고신호，염성수종구정략고신호。2례환자행증강소묘，수루적5개추체가견경도중도균균혹불균균강화，주변강화비교명현。결론：경추결핵발병년령집중우30세이하급50세이상，병변주요루급하경단，기중이제5경추최위다발。다충영상학검사방법연합사용대경추결핵적진단화술전평고유십분중요적의의。
Objective :To investigate imaging features of cervical tuberculosis .Methods :Imaging informa-tion of 16 patients with cervical tuberculosis by pathology were retrospectively analyzed .Results :In this group of pa-tients ,There was 14 cases of vertebral body-edge type ,and 2 cases of vertebral body-central .A total of 27 vertebrae were mainly concentrated in the lower cervical spine .The fifth cervical vertebra had the highest incidence .There were changes in 13 cases with body-edge type of intervertebral disc in a total of 14 cases .And 2 patients with verte-bral body-central type showed no significant changes of the intervertebral disc .X-ray examination revealed that the density of vertebral bodies was inhomogeneous in all 16 patients .CT showed that vertebral bodies were of inhomoge-neous density ,often accompanying cloddy or sand-like dead bones .On MRI T1WI ,most damaged vertebral bodies showed hypointensity ,a few showed low-mixed signals .Destruction of vertebral bodies showed heterogeneous hy-perintensity while edematous area showed higher signal . Homogeneous or inhomogeneous enhancement was ob-served in 5 vertebral bodies in 2 patients ,and edge enhancement was prominent .Conclusion :Age of onset of cervical tuberculosis concentrated on under the age of 30 and over the age of 50 ,mainly involving the lower cervical lesions , especially the fifth cervical vertebra .The combination of multiple imaging methods have high diagnostic value and preoperative evaluation value of cervical tuberculosis .