【摘要】 本文45例脊椎转移瘤经病理证实，CT扫描表现溶骨性（32例），成骨性（4例）和混合性（9例）。原发灶以肺癌最多见，其次鼻咽癌和胃癌。本组30例作脊椎正侧位X线检查，平片发现或可疑骨破坏19例，而CT扫描为100％，CT扫描发现和估价病变方面较X线平片检查优越敏感。对脊椎转移瘤的CT诊断，鉴别诊断的价值进行讨论。更多还原

【Abstract】 45Cases of pathological proved spinal metastasis were reported. The CT findings included osteolytic (32 cases), osteoblastic (4 cases) and mixed bopy destruction (9 cases). The most common primary tumor was pulmonary cancer, followed by nasopharyngeal cancer and gastric carcinoma. 30 cases had plain radiographs, only 19 cases showed or suspected bony destruction, while CT detedted the lesions in all cases.CT scan is far more sensitive in detecting and evaluating these lesions than routine radiography. Eyaluation of CT in diagnosis and differential diagnosis of spinal metastasis was discussed.更多还原