CAJ | 학술논문

目的:比较老年脊柱结核的CT与MRI表现,为诊断脊柱结核提供参考.方法:对我院收治确诊的28例老年脊柱结核患者进行CT及MRI检查,观察并比较其影像学表现.结果:确诊有68个椎体受累,其中全椎体受累18个椎体,病变位于椎体上下缘前方、侧方外1/3处40例;两种检查方法的骨质破坏检出率比较差异无统计学意义(P>0.05),但椎旁脓肿、硬膜及脊髓侵袭、韧带下侵袭的检出率MRI高于CT,死骨及钙化检出率CT高于MRI(P<0.05).结论:老年脊柱结核影像学特点不典型,CT及MRI各有优缺点,可互补检查,以提高诊断准确率.
목적:비교노년척주결핵적CT여MRI표현,위진단척주결핵제공삼고.방법:대아원수치학진적28례노년척주결핵환자진행CT급MRI검사,관찰병비교기영상학표현.결과:학진유68개추체수루,기중전추체수루18개추체,병변위우추체상하연전방、측방외1/3처40례;량충검사방법적골질파배검출솔비교차이무통계학의의(P>0.05),단추방농종、경막급척수침습、인대하침습적검출솔MRI고우CT,사골급개화검출솔CT고우MRI(P<0.05).결론:노년척주결핵영상학특점불전형,CT급MRI각유우결점,가호보검사,이제고진단준학솔.
Objective:To provide a reference for the diagnosis of spinal tuberculosis ,comparing CT and MRI findings of spinal tuber-culosis in elderly. Methods:The imaging findings were observed and compared according to the CT and MRI examinations of 28 di-agnosed patients in our hospital with senile spinal tuberculosis. Results:There were 68 vertebral bodies involved, including total ver-tebrae lesions of 18 vertebral bodies, and 40 cases with lesions located in the upper and lower edge of the front side and 1/3 lateral external side of centrum;Two methods of bone destruction detection rate were no significant different (P>0.05), but the MRI find-ings of paravertebral abscess, epidural and spinal and ligament invasion were superior to those of CT, dead bone and calcification de-tection rate of CT were higher than those of MRI (P<0.05). Conclusion:The imaging features of senile spinal tuberculosis are not typical, there are merits and demerits of CT and MRI, and complementary inspection can improve the diagnostic accuracy rate.