tailieunhanh - Nhận xét đặc điểm lâm sàng, cắt lớp vi tính và cộng hưởng từ bệnh nhân lao cột sống ngực, thắt lưng có biến chứng thần kinh tại Bệnh viện Phổi Trung ương năm 2023

Bài viết trình bày mô tả đặc điểm lâm sàng bệnh nhân lao cột sống ngực, thắt lưng có biến chứng thần kinh; Phân tích đặc điểm hình ảnh cắt lớp vi tính và cộng hưởng từ trên bệnh nhân lao cột sống ngực, thắt lưng có biến chứng thần kinh. | Vietnam Journal of Community Medicine Vol. 65 Special Issue 3 96-102 CHUYÊN ĐỀ LAO REVIEW OF CLINICAL CHARACTERISTICS COMPUTED TOMOGRAPHY AND MAGNETIC RESONANCE OF PATIENTS HAD TUBERCULOSIS OF THE THORACIC AND LUMBAR SPINE WITH NEUROLOGICAL DEFICIT AT THE NATIONAL LUNG HOSPITAL IN 2023 Nguyen Khac Trang Do Dang Hoan Nguyen Thanh Ninh National Lung Hospital - 463 Hoang Hoa Tham Ward Ba Dinh Hanoi Vietnam Received 22 02 2024 Revised 08 03 2024 Accepted 26 03 2024 ABSTRACT Introduction Spinal tuberculosis is secondary tuberculosis the disease progresses through several stages with complicated development. Spinal tuberculosis needs to be detected early and treated promptly. Accurate diagnosis of spinal tuberculosis requires a combination of clinical laboratory and imaging studies. In contributing to clarifying spinal tuberculosis s diagnostic features we analyzed clinical features computed tomography and magnetic resonance imaging on 135 patients with thoracic lumbar spine tuberculosis with neurological complications treated at the National Lung Hospital. Goals 1 Assess clinical characteristics of patients with tuberculosis of thoracic and lumbar spine with neurological complications 2 Assess the characteristics of computed tomography and magnetic resonance imaging in patients with tuberculosis of the thoracic and lumbar spine with neurological complications. Research method Cross-sectional description. Results 61 5 of patients had chronic anemia average motor score 86 3 13 4 points average pain score according to VAS 6 7 0 62 points average thoracic kyphosis angle 28 20 9 30 average lumbar kyphosis angle 1 00 18 90. On computed tomography and magnetic resonance imaging 85 1 of patients had abscesses 96 3 had moderate to severe vertebral destruction. The most distinctive features of spinal tuberculosis include Moderate to severe vertebral destruction Mild to moderate disc degeneration paraspinal abscess with well-defined margin vertebral intraosseous abscess with rim