陕西医学杂志Issue(7)：793-796,4.DOI:10.3969/j.issn.1000-7377.2014.07.008
颈椎结核16例影像学表现与分析
Imaging features and analysis of 16 cases of cervical tuberculosis
摘要
Abstract
Objective :To investigate imaging features of cervical tuberculosis .Methods :Imaging informa-tion of 16 patients with cervical tuberculosis by pathology were retrospectively analyzed .Results :In this group of pa-tients ,There was 14 cases of vertebral body-edge type ,and 2 cases of vertebral body-central .A total of 27 vertebrae were mainly concentrated in the lower cervical spine .The fifth cervical vertebra had the highest incidence .There were changes in 13 cases with body-edge type of intervertebral disc in a total of 14 cases .And 2 patients with verte-bral body-central type showed no significant changes of the intervertebral disc .X-ray examination revealed that the density of vertebral bodies was inhomogeneous in all 16 patients .CT showed that vertebral bodies were of inhomoge-neous density ,often accompanying cloddy or sand-like dead bones .On MRI T1WI ,most damaged vertebral bodies showed hypointensity ,a few showed low-mixed signals .Destruction of vertebral bodies showed heterogeneous hy-perintensity while edematous area showed higher signal . Homogeneous or inhomogeneous enhancement was ob-served in 5 vertebral bodies in 2 patients ,and edge enhancement was prominent .Conclusion :Age of onset of cervical tuberculosis concentrated on under the age of 30 and over the age of 50 ,mainly involving the lower cervical lesions , especially the fifth cervical vertebra .The combination of multiple imaging methods have high diagnostic value and preoperative evaluation value of cervical tuberculosis .关键词
结核 ,脊柱/诊断/体层摄影术X线,计算机/利用Key words
Tuberculosis ,spinal/Diagnosis/Tomography ,X-Ray computed分类
医药卫生引用本文复制引用
秦耿耿,欧阳晨雨,钟育峰,陈卫国..颈椎结核16例影像学表现与分析[J].陕西医学杂志,2014,(7):793-796,4.基金项目
广东省科技计划项目（2012A032200011）广东省产学研结合重点项目 （）
