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[计算机断层扫描在诊断合并神经系统疾病的结核性脊柱炎中的应用]

[Computed tomography in the diagnosis of tuberculous spondylitis complicated by neurological disorders].

作者信息

Mitusova G M, Sovetova N A, Titov A G, Maĭstrovich O A

出版信息

Probl Tuberk Bolezn Legk. 2003(6):13-7.

Abstract

Computed tomographic data were studied in 50 patients with evolutional forms of tuberculous spondylitis and 3 patients with its sequels. 95% of the patients were operated on. Cross sections displayed 3 variants of vertebral body destruction in tuberculous spondylitis. The vertebral canal was evaluated in 28 patients with neurological disorders and in 22 patients without them. Epidural abscess was revealed in all the patients with neurological disorders and in 12 patients without them. There was a relationship of the severity of neurological disorders as classified by Frankel et al. to the degree of stenosis of the vertebral canal, to the presence of its reserve space, and to the extent of vertebral and spinal lesion. The informative value of computed tomography in detecting spinal cord compression was 98.1 +/- 1.8%.

摘要

对50例结核性脊柱炎进展期患者及3例后遗症患者的计算机断层扫描数据进行了研究。95%的患者接受了手术。横断面显示了结核性脊柱炎椎体破坏的3种类型。对28例有神经功能障碍的患者和22例无神经功能障碍的患者的椎管进行了评估。在所有有神经功能障碍的患者以及12例无神经功能障碍的患者中均发现了硬膜外脓肿。根据Frankel等人的分类,神经功能障碍的严重程度与椎管狭窄程度、椎管储备空间的存在情况以及椎体和脊髓病变的范围之间存在关联。计算机断层扫描在检测脊髓压迫方面的信息价值为98.1±1.8%。

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