脊柱结核mri的再认识-影像医学与核医学专业论文.docxVIP

中山大学硕士学位论文 中山大学硕士学位论文 脊柱结核MRI的再认识 3、31例结核患者中1例(3．3％)为单椎体型；30例(96．7％)为 多节段型椎骨结核，其中3例(9．6％)表现为跳跃型亚型，27例(87．1％) 为连续型亚型。 结论：本研究通过对脊柱结核MRI资料的回顾性分析，得出脊 柱结核椎旁软组织受累可表现为肿块，不形成脓肿：椎间盘破坏是较 晚期的改变，终板破坏的程度是判断椎间盘是否受累的关键；脊柱结 核也可表现为单椎体骨质破坏及多椎体跳跃式破坏等形式。 关键词：脊柱；结核；磁共振成像 Ⅱ 中山大学硕士学位论文 中山大学硕士学位论文 脊柱结核MRI的再认识 Re—realization of Spinal Tuberculosis with Magnetic Resonance Imaging Major．Medical Imaging and Nuclear Medicine Name：Ling Jian Supervisor．PTo{．Meng Quanfei Abstract Objective：To summarize the magnetic resonance imaging features of spinal tuberculosis，especially atypical imaging patterns Materials and Methods：Thirty—one proven spinal tuberculosis cases were included in this study,age range from 4 to 78 years old(mean age 46．8 years)with 20 male，1 1 female．The MR imagings ofthose cases were analyzed based on the following parts of vertebral，the vertebral body，intervertebral disc，end—plate，paravertebral soft tissue and accessory part were observed．And their imaging patterns were drew out Results： 1．The incidence of involved parts of the vertebrae respectively WaS vertebral bodies 85，intervertebral discs 32，accessory parts 14， paravertebral soft tissue swollen in 28 cases，kyphosis in 1 2 cases， III 中山大学硕士学位论文 中山大学硕士学位论文 脊柱结核Mill的再认识 epidural abscesses in 1 3 cases．Among the 28 cases of paravertebral soft tissue swollen，paravertebral abscess were found in 17 cases(17128， 60．7％)，while paravertebral nlass in 1 1 cases(a l／2S，39．3％) 2．It was also found that whenever the lesion extended beyond half of the end-plate，the intervertebral discs would also be destroyed with the vertebraljnterva／narrowed 3．Only l case(1／31，3_3％)was single vertebral body attacked among the 3 1 spinal tuberculosis cases．However，30 cases(96．7％)were multiple vertebrae involved，including 3 cases(9．6％)of skipped ones and 27 cases(87．1％)ofcontiguous oues Conclusion：Based on 3 1 cases reviewed．we concluded that the imaging pattern of the paravertebml soft tissue attacked by tuberculosis could be demonstrated as soft tis