CAJ | 학술논문

目的：探讨颅内结核病的MSCT表现及其分型。方法回顾性分析25例颅内结核病患者的临床和CT资料，所有患者均经临床和脑脊液检查确诊。CT检查采用平扫和双期增强扫描。增强扫描采用动脉期、延迟期（延迟5min）双期扫描。结果25例患者中，脑膜型结核14例；脑实质型结核7例，其中脑结核瘤5例，结核性脑脓肿2例；混合型结核4例。增强后动脉期CT表现：颅内动脉血管充盈良好，结核病灶仅轻度强化；延迟期CT表现：结核病灶仍持续明显强化，颅内血管影已基本上不显示，病灶显示清晰。结论MSCT可为颅内结核的临床诊断、分型、治疗提供可靠依据。
목적：탐토로내결핵병적MSCT표현급기분형。방법회고성분석25례로내결핵병환자적림상화CT자료，소유환자균경림상화뇌척액검사학진。CT검사채용평소화쌍기증강소묘。증강소묘채용동맥기、연지기（연지5min）쌍기소묘。결과25례환자중，뇌막형결핵14례；뇌실질형결핵7례，기중뇌결핵류5례，결핵성뇌농종2례；혼합형결핵4례。증강후동맥기CT표현：로내동맥혈관충영량호，결핵병조부경도강화；연지기CT표현：결핵병조잉지속명현강화，로내혈관영이기본상불현시，병조현시청석。결론MSCT가위로내결핵적림상진단、분형、치료제공가고의거。
Objective To investigate the MSCT (Multi-Slice Computed Tomography) features and classification of intracranial tuberculosis. Methods Clinical materials and CT data of 25 patients who had been confirmed as intracranial tuberculosis clinically and through cerebrospinal fluid examinations were analyzed retrospectively. MSCT with flat and dual-phase (arterial phase and delayed phase with 5-minute delay) enhancement scanning were carried out. Results Among 25 cases of patients, there were 14 cases with tuberculosis meningitis; 7 cases with brain parenchyma tuberculosis (including 5 brain tuberculoma and 2 with tuberculous brain abscess) and 4 cases with mixed cerebral tuberculosis. The enhanced artery-phase CT features included the well-filled intracranial artery and mildly-enhanced tuberculosis lesions. The enhanced delay-phase CT features included the constantly significantly-enhanced tuberculosis lesions, none-display of intracerebral arteries and clear display of lesions. Conclusion MSCT could provide reliable foundations for clinical diagnosis, clarification and treatment of intracranial tuberculosis.