脊椎结核和转移瘤的治疗和预后截然不同 ,故二者的鉴别非常重要。作者收集了 1992年 10月至 2 0 0 0年 2月间经手术和病理证实的脊椎结核 2 4例、转移瘤 19例进行回顾性影像学分析 ,着重探讨二者的ＣＴ表现。临床资料　 2 4例脊椎结核中男 13例 ,女 11例 ,年龄 8～ 2 0岁 2例 , Spinal tuberculosis and metastases treatment and prognosis are very different, so the identification of the two is very important. The authors collected 24 cases of spinal tuberculosis and 19 cases of metastatic tumors confirmed by surgery and pathology from October 1992 to February 2000 for retrospective imaging analysis and focused on CT findings. Clinical data of 24 cases of spinal tuberculosis in 13 males and 11 females, aged 8 to 20 years in 2 cases,