多排螺旋CT对脊椎结核-脊椎转移瘤的鉴别诊断

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1、多排螺旋CT对脊椎结核-脊椎转移瘤的鉴别诊断多排螺旋CT对脊椎结核脊椎转移瘤的鉴别诊断【摘耍】目的分析脊柱转移瘤和脊柱结核的CT表现。探讨二者的CT鉴别诊断。方法分析我院2006-2010年40例经手术、病理及临床证实的脊椎结核，转移瘤，通过患者病史，观察椎体、附件骨、椎间盘破坏方式，椎旁、椎管内脓肿的范围，及脊髓受压情况，分析患者的CT影像学表现，鉴别诊断脊椎结核及脊椎转移瘤。结果脊柱转移瘤和脊柱结核多发生在胸椎及腰椎，舐椎及颈椎比较少见。结论26例脊柱结核CT表现为骨质破坏、高密度死骨形成、椎体压缩、椎间盘破坏、椎旁、腰大肌脓肿、或椎管狭窄例等症状；14例脊椎转移瘤征

2、象是椎骨骨质破坏、增生或两者并存；以溶骨性破坏多见，常伴有椎旁软组织肿块形成，椎体引起压缩，结合病变的形态改变，包括椎体、附件、椎间盘和相邻软组织，CT能对脊柱转移瘤和脊柱结核的诊断及鉴别诊断提供帮助。【关键词】脊椎结核转移瘤多排螺旋CT鉴别诊断中图分类号:R816.8文献标识码:A文章编号:1005-0515(2011)1-026-03CTdifferentialdiagnosisonspinalmetastasesandspinaltuberculosisFENGNannanSHIJieWANGHongZHAOGuangjiang(SecondAffilieatbHos

3、pitalofxinjiangMedicalLmagingCenter,UrumgiXinjiang,830028)[Abstract]ObjectiveToanalyzespinalmetastasesandspinaltuberculosisCT.CTdifferentialdiagnosisofboth・Methods40patientsinourhospitalby2006-2010,andclinicalpathologyconfirmedspinaltuberculosis,metastatictumors,bypatienthistory,observatio

4、nofvertebralbody,attachmentbone,intervertebraldiscfailuremode,paravertebral,spinalabscessintherange,andspinalcordpressureandtoanalyzetheCTimagingfeaturesofpatients,differentialdiagnosisofspinaltuberculosisandspinalmetastases・ResultsThespinalmetastasesandspinaltuberculosisoccurredinthethora

5、cicandlumbarspine,sacrumandcervicalspinearerelativelyrare・ConelusionTheCTmanifestationsof26casesofspinaltuberculosisisbonedestruction,sequestraformationofhigh-density,vertebralcompression,discdestruction,paravertebral,psoasabscess,orspinalstenosispatientswithothersymptoms;14patientswithsig

6、nsofspinalmetastasesarethevertebraebonedestruction,proliferationorbothco-exist;toosteolyticdestructioncommon,oftenaccompaniedbytheformationofparavertebralsofttissuemasses,vertebralcompressioncausedbycombinedlesionsofthemorphologicalchanges,includingthevertebralbody,accessories,discandadjac

7、entsofttissue,CTcanbeofspinalmetastatictumorandspinaltuberculosisdiagnosisanddifferentialdiagnosistohelp.[Keywords]spinemetastasestuberculosisCTdifferentialdiagnosis脊柱结核及转移瘤在H常诊断工作中常见，木文分析2006-2010年例经临床和（或）手术、病理证实的脊柱结核及转移瘤的CT表现及特征，以提高两种疾病的诊断和鉴别诊断水平。显示对应的拉丁字符的拼