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目的:探讨X线平片、CT及MRI在脊柱结核诊断中的价值。方法:选取本院2015年2月-2017年4月收治的26例脊柱结核患者为研究对象,所有患者均经手术病理证实为脊柱结核,所有研究对象均给予X线平片、CT及MRI检查,观察并比较三者诊断的准确性。结果:26例脊柱结核患者,X线平片诊断的准确率为61.5%、CT诊断的准确率为76.9%、MRI诊断的准确率为96.2%,X线平片对脊柱结核显示患椎的敏感性为56.5%(26/46)、CT为73.9%(34/46)、MRI为100.0%(46/46)。结论:MRI在脊柱结核的诊断中具有较大的优势,三者各有特点,联合诊断的准确率更高。
Objective: To investigate the value of X-ray, CT and MRI in the diagnosis of spinal tuberculosis. Methods: Twenty-six patients with spinal tuberculosis admitted from February 2015 to April 2017 in our hospital were enrolled in this study. All patients were proved to have spinal tuberculosis by surgery and pathology. All subjects were examined by X-ray, CT and MRI , Observe and compare the diagnostic accuracy of the three. Results: In 26 cases of spinal tuberculosis, the diagnostic accuracy of X-ray was 61.5%, the accuracy of CT diagnosis was 76.9% and the accuracy of MRI diagnosis was 96.2%. X-ray showed sensitivity to spinal tuberculosis The results were 56.5% (26/46), 73.9% (34/46) for CT, and 100.0% (46/46) for MRI. Conclusion: MRI has a great advantage in the diagnosis of spinal tuberculosis. Each of the three has its own characteristics and the accuracy of the combined diagnosis is higher.