中文摘要：

目的分析螺旋CT对脊椎结核与肿瘤鉴别诊断的临床价值。方法回顾性研究2008年6月30日～2012年6月30日期间在我院就诊的120例脊椎肿块患者的临床资料。根据诊治过程中是否接受多层螺旋CT检查分为观察组和对照组各60例，比较两组患者的疾病确诊率和常规CT与螺旋CT对于脊柱结核和脊柱肿瘤的诊断表现。结果使用螺旋CT进行检查的观察组的脊椎肿块确诊率明显高于对照组（P〈0．05）；在脊柱结核诊断中，螺旋CT对于骨质破坏、椎间盘破坏、椎旁脓肿、椎体改变、死骨形成等诊断方面均优于常规CT；在脊柱肿瘤诊断方面。螺旋CT在骨质破坏、骨性椎管受累、椎旁软组织受累等诊断出例数及比率均多于常规CT。结论螺旋CT可以大幅增加脊椎结核与肿瘤鉴别诊断的准确率，且不增加患者的负面情绪。

英文摘要：

Objective To analysis the clinical value of spiral CT in identify spinal tuberculosis and tumor. Methods Choosed 120 cases with spinal cord tumor between 2008 to 2012 in our hospital as the objecte group, divided into the observation group and the control group each with 60 cases, compared two groups＇ disease diagnosis rate and Conventional CT and spiral CT for the diagnosis of spinal tuberculosis and spinal tumors performance. Results The observation group＇ s spinal tumor diagnosis rate was significantly higher than that in control group （P 〈 0.05 ） ; In diagnosis of spinal tuberculosis, spiral CT for bone destruction, intervertebral disk failure, paravertebral abscess, the changes of vertebral body, dead bone formation diagnostic aspects are better than conventional CT; in spinal tumor diagnosis, spiral CT in bone destruction, bony spinal involvement, paravertebral soft tissue involvement＇s number of diagnosed cases than conventional CT. Conclusion Spiral CT will increase the spinal tuberculosis and tumor differential diagnosis accuracy, and will not increased in patients with negative emotion.