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目的：旨在提高脊柱结核的ＣＴ诊断与鉴别诊断。方法：对临床怀疑或已诊断脊柱结核的５２例病人进行ＣＴ扫描，并分析了ＣＴ影像表现。结果：５２例脊柱结核均经手术病理证实。４９例显示椎体破坏，４６例椎旁脓肿，２例病变侵及椎管，４１例椎间盘破坏，４例椎体附件破坏。结论：ＣＴ对脊柱结核的诊断与鉴别诊断优于常规Ｘ线，特别是对于估价骨质破坏程度和侵及椎管及椎旁软组织块影的范围更有价值
Objective: To improve CT diagnosis and differential diagnosis of spinal tuberculosis. Methods: CT scan was performed on 52 cases of clinically suspected or diagnosed spinal tuberculosis, and the CT images were analyzed. Results: 52 cases of spinal tuberculosis were confirmed by pathology. 49 cases showed vertebral destruction, 46 cases of paravertebral abscess, 2 lesions invading the spinal canal, 41 cases of discectomy, 4 cases of vertebral attachment destruction. Conclusion: The CT diagnosis and differential diagnosis of spinal tuberculosis is superior to the conventional X-ray, especially for the evaluation of the extent of bone destruction and invasion of the scope of the spinal canal and paravertebral soft tissue