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中国防痨杂志 ›› 2002, Vol. 24 ›› Issue (1): 19-20.

• 论著 • 上一篇    下一篇

CT检查在脊柱结核中的临床应用

车凤义;刘树清;云来彪;   

  1. 内蒙古呼和浩特市第一医院 呼和浩特 010020;
  • 出版日期:2002-01-10 发布日期:2002-11-03

Clinical application of CT examining in the spondylocace disease

CHE Feng-yi,LIU Shu-qing,YUN Lai-biao.   

  1. Department of Orthopaedics of the First Hospital of Hohhot 010020
  • Online:2002-01-10 Published:2002-11-03

摘要: 目的 评估CT对脊柱结核的诊断价值。方法 对80例脊柱结核病人的X线平片,CT片和手术进行对照分析。结果 CT较X线片诊断率分别提高:椎体骨质破坏提高27.5%,椎间盘破坏提高18.2%,死骨提高38.6%,脓肿提高29.2%,脊髓受压提高62.5%。平均提高35.2%。结论 它可提供精确的诊断依据,尤其在脊柱结核的早期诊断、手术指征、手术入路和有目的进行病灶清除具有重要指导价值。

关键词: 结核,脊柱/放射摄影术, 体层摄影术,X线计算机

Abstract: Objective To evaluate the diagnostic value of CT in the spondylocace disease.Methods Comparing 80 cases by X-ray,CT and operation of spondylocace disease.Results The accuracy of CT diagnosis was better than X-ray:it increases 27.5% in the wound of the spongyboue of vertebral body, 18.2% in the wound of interbral discs,38.6% sequestra,29.2% abscess,62.5% pressed spinal cord and the average increased accuracy is 35.2%.Conclusion CT examining can provide an accurate diagosis,especially it plays a very important role in the early diagnosis,the operation indication,approaches and aimnessly clearing away the pathological changes.

Key words: Tuberculosis,Spinal/Radiogeaphy, Tomography,X-ray computed