脊柱结核不全瘫患者MSCT影像表现及其临床意义

doi:10.7517/issn.1674-0475.201209

影像科学与光化学 ›› 2021, Vol. 39 ›› Issue (4): 564-568.DOI: 10.7517/issn.1674-0475.201209

脊柱结核不全瘫患者MSCT影像表现及其临床意义

张娅丽¹, 罗小波², 赵倩³

1. 中国人民解放军总医院第八医学中心放射科, 北京 100091;
2. 中国人民解放军总医院第八医学中心骨科, 北京 100091;
3. 解放军总医院第七医学中心放射科, 北京 100700

收稿日期:2020-12-11 出版日期:2021-07-15 发布日期:2021-07-20
通讯作者: 张娅丽

MSCT Findings and Clinical Significance of Spinal Tuberculosis Patients with Incomplete Paralysis

ZHANG Yali¹, LUO Xiaobo², ZHAO Qian³

1. Department of Radiology, The 8th Medical Center of Chinese PLA General Hospital, Beijing 100091, P. R. China;
2. Department of Orthopedics, The 8th Medical Center of Chinese PLA General Hospital, Beijing 100091, P. R. China;
3. Department of Radiology, The 7th Medical Center of Chinese PLA General Hospital, Beijing 100700, P. R. China

Received:2020-12-11 Online:2021-07-15 Published:2021-07-20

摘要/Abstract

摘要： 本研究探讨脊柱结核不全瘫患者多层螺旋CT（MSCT）影像表现及临床意义。选取脊柱结核术前不全瘫患者72例作为观察组，其中Frankel脊髓损伤分级：B级24例，C级27例，D级21例，同时选取肌力正常的脊柱结核患者90例作为对照组，分析比较两组患者MSCT影像特征差异。观察组3个及以上椎体受损比例、病变椎体胸段以上分布比例明显高于对照组（P<0.05）；观察组骨性椎管不完整、椎体总高度丢失≥1个椎体、椎旁脓肿及致压物压迫椎管、压迫椎间孔比例及后凸Cobb角明显高于对照组（P<0.05）；观察组Frankel分级B级患者骨性椎管不完整比例为37.50%，显著高于C级和D级患者（P<0.05）；观察组Frankel分级B级患者椎旁脓肿及致压物压迫椎管比例、压迫椎间孔比例及后凸Cobb角高于D级患者（P<0.05）。与肌力正常的脊柱结核比较，脊柱结核术前不全瘫患者MSCT影像有所差异，在不同Frankel分级间同样有一定差异。

关键词: 脊柱结核, 不全瘫痪, 多层螺旋CT, 临床意义

Abstract: The purpose of this study was to investigate the multi-slice spiral CT (MSCT) imaging manifestations and clinical significance of spinal tuberculosis patients with incomplete paralysis before operation. 72 patients (observation group) with incomplete paralysis before spinal tuberculosis surgery in our hospital were selected, including Frankel spinal cord injury classification: 24 cases of grade B, 27 cases of grade C, and 21 cases of grade D, and 90 cases of spinal tuberculosis patients with normal muscle strength were selected as the control group, and the differences of MSCT imaging features between the two groups were analyzed and compared. In the observation group, the proportion of three or more vertebral injuries and the distribution proportion of the diseased vertebral chest segment and above were significantly higher than those in the control group (P<0.05). In the observation group, the ratio of osseous spinal canal incomplete, total vertebral height loss ≥1 vertebral body, paravertebral abscess and compression object compression vertebral canal, compression foramina ratio and kyphosis Cobb Angle were significantly564 higher than those in the control group (P<0.05). In the observation group, the proportion of osseous spinal incomplete in Frankel grade B patients were higher than that in Grade C and D patients (P<0.05). In the observation group, the ratio of paravertreal abscess and compression material to compress vertebral canal, the ratio of compression foramina and kyphosis Cobb Angle in Frankel grade B patients were higher than those in Grade D patients (P<0.05). Compared with spinal tuberculosis with normal muscle strength, MSCT images of spinal tuberculosis patients with preoperative paraplegia are different, and there are also certain differences among different Frankel grades.

Key words: spinal tuberculosis, incomplete paralysis, multislice spiral CT, clinical significance

张娅丽, 罗小波, 赵倩. 脊柱结核不全瘫患者MSCT影像表现及其临床意义[J]. 影像科学与光化学, 2021, 39(4): 564-568.

ZHANG Yali, LUO Xiaobo, ZHAO Qian. MSCT Findings and Clinical Significance of Spinal Tuberculosis Patients with Incomplete Paralysis[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2021, 39(4): 564-568.

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脊柱结核不全瘫患者MSCT影像表现及其临床意义

MSCT Findings and Clinical Significance of Spinal Tuberculosis Patients with Incomplete Paralysis

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