小兒脊椎結核的放射線表徵

本研究收集了14名小兒脊椎結核的病例，年齡由1歲到15歲不等，所有病例皆有素片(plain film)的檢查，其中5例並且有電腦斷層攝影(computed tomography-CT)的檢查。審視這些病例的放射線學表現，小兒脊椎結核的侵犯部位和成人比較較高；而且侵犯的程度比較厲害與廣泛。我們的病例，受侵犯的部位以T4-T10最多。侵犯兩個以上推體的有10例(77%)；造成嚴重脊椎蹋陷(vertebral collapse)者有9例(64%)；合併脊椎旁膿瘍者10例(71%)，其中有鈣化者僅2例；造成脊柱後彎達30度以上者有8例(57%)；造成椎管內(intraspinal invasion)侵犯者5例，這5例皆可由電腦斷層攝影診斷出來。

關鍵字

脊椎；結核；小兒

並列摘要

We studied fourteen children, with an age span of one to fifteen years, who had suffered from tuberculosis of spine. All of them had plain radiographs of chest and spine, and five had computed tomography (CT). Reviewing the X-ray findings, we found there were some differences between tuberculosis of spine in pediatric patients and that in adults. The spinal lesions of pediatric tuberculosis had higher location, more destructed vertebral bodies and wide extension of the paravertebral abscesses. Most of the involved levels of the spine in our cases were from T4 to Tb. There were 10 cases (78%) which had more than two vertebraes involvement, and 9(64%) had vertebral body collapse. The paravertebral abscesses were found in 10 patients (71%), only two with calcification. There were 8 cases(57%) which had more than 30 degrees angulation of the kyphosis. The 5 patients who had computed tomography all showed intraspinal invasion of tuberculosis.

並列關鍵字

spine ； tuberculosis ； pediatric

國際替代計量

小兒脊椎結核的放射線表徵

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