多排螺旋CT對脊椎結(jié)核-脊椎轉(zhuǎn)移瘤的鑒別診斷

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1、多排螺旋CT對脊椎結(jié)核-脊椎轉(zhuǎn)移瘤的鑒別診斷多排螺旋CT對脊椎結(jié)核脊椎轉(zhuǎn)移瘤的鑒別診斷【摘?！磕康姆治黾怪D(zhuǎn)移瘤和脊柱結(jié)核的CT表現(xiàn)。探討二者的CT鑒別診斷。方法分析我院2006-2010年40例經(jīng)手術(shù)、病理及臨床證實的脊椎結(jié)核，轉(zhuǎn)移瘤，通過患者病史，觀察椎體、附件骨、椎間盤破壞方式，椎旁、椎管內(nèi)膿腫的范圍，及脊髓受壓情況，分析患者的CT影像學(xué)表現(xiàn)，鑒別診斷脊椎結(jié)核及脊椎轉(zhuǎn)移瘤。結(jié)果脊柱轉(zhuǎn)移瘤和脊柱結(jié)核多發(fā)生在胸椎及腰椎，舐椎及頸椎比較少見。結(jié)論26例脊柱結(jié)核CT表現(xiàn)為骨質(zhì)破壞、高密度死骨形成、椎體壓縮、椎間盤破壞、椎旁、腰大肌膿腫、或椎管狹窄例等癥狀；14例脊椎轉(zhuǎn)移瘤征

2、象是椎骨骨質(zhì)破壞、增生或兩者并存；以溶骨性破壞多見，常伴有椎旁軟組織腫塊形成，椎體引起壓縮，結(jié)合病變的形態(tài)改變，包括椎體、附件、椎間盤和相鄰軟組織，CT能對脊柱轉(zhuǎn)移瘤和脊柱結(jié)核的診斷及鑒別診斷提供幫助。【關(guān)鍵詞】脊椎結(jié)核轉(zhuǎn)移瘤多排螺旋CT鑒別診斷中圖分類號:R816.8文獻標(biāo)識碼:A文章編號: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脊柱結(jié)核及轉(zhuǎn)移瘤在H常診斷工作中常見，木文分析2006-2010年例經(jīng)臨床和（或）手術(shù)、病理證實的脊柱結(jié)核及轉(zhuǎn)移瘤的CT表現(xiàn)及特征，以提高兩種疾病的診斷和鑒別診斷水平。顯示對應(yīng)的拉丁字符的拼