磁共振成像2017，Vol.8Issue(6)：436-440,5.DOI:10.12015/issn.1674-8034.2017.06.007
脊柱结核磁共振成像增强扫描的意义
The significance of MRI enhanced scan in the spinal tuberculosis
陆通 1何花 2张琴 1续梦玲 1杨虹 1郭玉林2
作者信息
- 1. 宁夏医科大学临床医学院,银川750004
- 2. 宁夏医科大学总医院放射科,银川750004
- 折叠
摘要
Abstract
Objective: To improve the diagnosis of spinal tuberculosis by analyzing the MRI imaging findings of spinal tuberculosis. Materials and Methods: MRI imaging data of 57 patients with spinal tuberculosis confirmed by biopsy and surgery and pathology were analyzed retrospectively. The findings of MRI plain scan and enhanced scan images of spinal tuberculosis were analyzed. Results: Fifty-seven cases of cervical tuberculosis in 5 cases, 12 cases of thoracic tuberculosis, 24 cases of lumbar spine tuberculosis. Cervical vertebrae complicating thoracic vertebrae were 3 cases. Thoracic vertebrae complicating lumbar were 8 cases. Lumbar complicating sacral vertebrae were 5 cases. Only one vertebrae was involved in 2 cases, two vertebraes were involved in 41 cases, more than three vertebraes were involved in 14 cases. There were stenosis or disappearance of intervertebral space in 43 cases and 40 cases had cold abscess. There were obviously enhanced in 41 cases and weak or no enhanced in 16 cases by MR enhanced scan. 57 patients were treated with 1-3 months by the combination of multiple anti-tuberculosis chemotherapy. MR scan was performed more than 2 times in 15 patients before operation. 12 patients' imaging performances were better than that of anti-tuberculosis chemotherapy and 3 cases were not. Conclusion: MRI enhanced scan has important application value in diagnosis and treatment of spinal tuberculosis.关键词
结核,脊柱/磁共振成像/影像表现Key words
Tuberculosis/spinal/Magnetic resonance imaging/Imaging performance分类
医药卫生引用本文复制引用
陆通,何花,张琴,续梦玲,杨虹,郭玉林..脊柱结核磁共振成像增强扫描的意义[J].磁共振成像,2017,8(6):436-440,5.
