| 化脓性脊椎炎的诊断研究进展 |
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投稿时间：2007-01-25
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| 作者 | Author | 单位 | Address | E-Mail |
| 刘禹 |
LIU Yu |
浙江大学医学院附属第二医院骨科,浙江杭州310009 |
Department of Orthopaedics, the Second Affiliated Hospital of Medical College of Zhejiang University, Hangzhou 310009, Zhejiang, China |
liuyu02081982@126.com |
| 陈维善 |
LIU Yu |
浙江大学医学院附属第二医院骨科,浙江杭州310009 |
Department of Orthopaedics, the Second Affiliated Hospital of Medical College of Zhejiang University, Hangzhou 310009, Zhejiang, China |
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| 期刊信息：《中国骨伤》2007年，第20卷，第9期，第649-651页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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| 中文摘要:化脓性脊椎炎的诊断方法可以分类为临床表现、实验室检查、影像学检查、核医学以及病原病理学等方面。白细胞、血沉和C反应蛋白可以证明感染病灶的存在。影像学检查对于确诊起非常重要的作用,同时在确定治疗方案、治疗和预后随访中扮演重要角色。普通X线片的敏感性和特异性都比较低,因此通常仅用于初步判断感染存在。CT具有较好的敏感性,但缺乏特异性。MRI的敏感性和特异性都非常突出,尤其当MRI同核医学联合应用更能够发挥其对于化脓性脊椎炎的诊断价值。该疾病最准确的诊断依据是病原病理学的证据,也是确诊的惟一手段。对于确诊化脓性脊椎炎需要综合分析方可避免漏诊、误诊。 |
| 【关键词】化脓性脊椎炎 诊断技术和方法 进展 |
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| Progress of reseach for the diagnosis on suppurative spondylitis |
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| ABSTRACT The diagnosis methods of suppurative spondylitis were classified into clinical characteristics, laboratory examination, imageology examination, nuclear medicine and pathology-aetiology examination. WBC, ESR and CRP are the evidences of infection. Making a definite diagnosis needs the help of imageology examination. Radiological evaluations have gained importance in the diagnosis, treatment planning, treatment and treatment monitoring of the spinal infections. Conventional radiographs are usually the initial imaging study. The sensitivity and specificity of the plain radiographs are very low. The sensitivity of CT is higher while it lacks of specificity. MRI is as sensitive, specific and accurate as combined nuclear medicine studies and the method of choice for the disease. The result of pathology-aetiology examination is the most accurate evidence. To make a final diagnosis of suppurative spondylitis depends on general analysis based on these points. |
| KEY WORDS Suppurative spondylitis Diagnostic techniques and procedures Progress |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 刘禹,陈维善.化脓性脊椎炎的诊断研究进展[J].中国骨伤,2007,20(9):649~651 |
| 英文格式: | LIU Yu,LIU Yu.Progress of reseach for the diagnosis on suppurative spondylitis[J].zhongguo gu shang / China J Orthop Trauma ,2007,20(9):649~651 |
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