磁共振成像对脊柱结核的诊断价值The diagnostic value of MRI to spinal tuberculosis
杨虹;郭玉林;李雪霜;陆通;
摘要(Abstract)：
目的总结脊柱结核的MRI特征,提高MRI对脊柱结核的诊断准确率。材料与方法分析经临床手术病理证实的120例脊柱结核患者的影像学资料,所有患者术前行数字化摄影(DR)、MRI平扫及增强检查,分别计算各自的诊断准确率,行卡方检验。结果 120例脊柱结核,DR诊断准确72例(60%),MRI诊断准确112例(93.3%),二者之间差异具有统计学意义(P<0.05)。结论 MRI能够发现脊柱结核的早期征象,有助于确定病变范围,诊断准确率高,对临床诊断和指导治疗有重要意义。
关键词(KeyWords)： 结核;脊柱;磁共振成像
基金项目(Foundation):
作者(Author): 杨虹;郭玉林;李雪霜;陆通;
Email:
DOI:
参考文献(References)：
- [1]Pu W.The MRI manifestations of spinal tuberculosis.,201017(34):104-106.朴文.脊柱结核的MRI表现.中国当代医药,2010,17(34)104-106.
- [2]Cormican L,Hammal R,Messenger J,et al.Current difficultie in the diagnosis and management of spinal tuberculosis Postgrad Med J,2006,82(2):46-51.
- [3]Zhao LW,Yang GQ,Dong GL,et al.The value of MRI in the diagnosis of early and atypical spinal tuberculosis.J Chin Comput Tomogr Magn Reson Imag,2013,11(4):107-110.赵林伟,杨国庆,董国礼,等.MRI在诊断早期和非典型脊柱结核中的价值探讨.中国CT和MRI杂志,2013,11(4):107-110.
- [4]Shi LJ,Tian JM,Wang J,et al.The Value of MRI in the diagnosis of spinal tuberculosis.J Clin Radiol,2008,27(2):227230.史丽静,田建明,汪剑,等.MRI在脊柱结核诊断中的应用价值.临床放射学杂志,2008,27(2):227-230.
- [5]Wang LX,Yuan F,Zhao FZ,et al.Analysis of the clinica features of atypical spinal tuberculosis.Orthop J Chin,201119(7):605-607.王立新,袁峰,赵凤朝,等.不典型脊柱结核的临床特点分析中国矫形外科杂志,2011,19(7):605-607.
- [6]Jain AK,Aggarwal A,Mehrotra G.Correlation of cana encroachment with neurological deficit in tuberculosis of the spine.Intorthop,1999,23(2):85-86.
- [7]Yang HQ,Duan H.The morphological diversity of spina tuberculosis pathological and radiological characteristics.J Prac Orthop,2015,21(5):473-476.杨海青,段洪.脊柱结核病理及影像学形态多样性特征.实用骨科杂志,2015,21(5):473-476.
- [8]De Backer AI,Mortele KJ,Vanschoubroeck U,et al Tuberculosis of the spine:CT and MRI imaging features.JBRBTR,2005,88(2):92-97.
- [9]Huang GH,Zhao L,Lin Y,et al.The diagnostic value of spina tuberculosis of MRI(40 cases report attached).J Med Imaging2014,24(3):503-504.黄光海,赵丽,林月,等.脊柱结核的MRI诊断价值(附40例报告).医学影像学杂志,2014,24(3):503-504.
- [10]Liu YP,Jiang ZY,Gu J,et al.The low field MRI in early diagnosis of spinal tuberculosis.J Chin Comput Tomogr Magn Reson Imag,2009,7(6):6-7.刘彦平,蒋政焱,顾军,等.脊柱结核的低场强MRI早期诊断中国CT和MRI杂志,2009,7(6):6-7.
- [11]Yue XT,Wu YH,Wang XL,et al.45 cases of CT,MRI contras research of Spinal Tuberculosis.J Chin Comput Tomogr Magn Reson Imag,2015,13(1):86-89.岳炫彤,邬颖华,王晓玲,等.45例脊柱结核的CT、MRI对比研究.中国CT和MRI杂志,2015,13(1):86-89.
- [12]Desai SS,Orth DD.Early diagnosis of spinal tuberculosis by MRI.J Bone Joint Surg,1994,76(4):863.
- [13]Song J,Zhang B,Xiao BJ,et al.Spinal tumors misdiagnosed spinal tuberculosis in 1 case.J Clin Orthop,2014,17(1):117118.宋健,张波,肖宝均,等.脊柱肿瘤误诊脊柱结核1例.临床骨科杂志,2014,17(1):117-118.