摘要
目的分析布鲁氏菌性脊柱炎的影像学特点,进一步阐明不同影像模式的阳性诊断、病变评估价值。方法回顾性分析2018年1月至2020年12月经实验室检查证实的31例布鲁氏菌性脊柱炎患者的影像资料,其中X线检查24例,CT检查28例,MRI检查27例,分别观察病变椎体、椎间盘及周围组织的不同影像模式。结果 31例布鲁氏菌性脊柱炎患者包括男性21例,女性10例,年龄24~77岁,平均年龄48.25岁。病变发生于颈椎1例,胸椎2例,腰骶椎28例。X线表现椎体异常16例,发生率66.7%;椎间隙狭窄18例,发生率75.0%。CT表现椎体异常24例,发生率85.7%;椎间盘异常22例,发生率78.6%;椎旁异常19例,发生率67.9%。MRI表现椎体异常27例,发生率100%;椎间盘异常24例,发生率88.9%;椎旁异常16例,发生率59.3%;椎管异常9例,发生率33.3%。结论布鲁氏菌性脊柱炎的阳性表现MRI优于CT,CT优于X线,部分特异征象如CT显示骨赘垂直椎体、MRI显示T;WI高信号形态与T;WI增强扫描强化形态保持一致,对于该病的确诊有重要的提示作用。
Objective To analyze the image characteristics of brucella spondylitis,further clarify the value of positive diagnosis and lesions evaluation in different image patterns.Methods Imaging data of 31 cases with brucellar spondylitis (from January 2018 to December 2020) confirmed by laboratory examination were retrospectively reviewed.24 patients received the lumbar spine X-ray examination,28 patients CT examination,and 27 patients MRI examination.The lesions of vertebral body,Intervertebral disc,and surrounding tissue of vertebral body,were respectively analyzed by different image patterns.Results 31 patients with brucellar spondylitis were included,21 males and 10 females,aged 24~77 years with an average age of 48.3 years.In terms of the site,1 case in the cervical vertebra,followed 2 cases in the thoracic vertebra,and 28 cases in the lumbosacral vertebrae,respectively.In X-ray,16 cases of lesions of vertebral body (66.7%),and 18 cases of intervertebral space stenosis (75.0%).In CT,24 cases of lesions of vertebral body (85.7%),22 cases of lesions of intervertebral disc (78.6%),and 19 cases of lesions of surrounding tissue of vertebral body (67.9%).In MRI,27 cases of lesions of vertebral body (100%),24 cases of lesions of intervertebral disc (88.9%),16 cases of lesions of surrounding tissue of vertebral body (67.9%),and 9 cases of lesions of vertebral canal (33.3%).Conclusion MRI were superior to CT and CT was superior to X-ray in sequence for the positive manifestations of brucella spondylitis.Some specific signs were as follows:osteophytes were perpendicular to the vertebra in CT,and T;WI high signal pattern was consistent with T;WI enhanced pattern of MRI,which was of important significance for the diagnosis of brucella spondylitis.
作者
李俊林
王丽娜
张晓琴
Li Junlin;Wang Lina;Zhang Xiaoqin(Department of Imaging Medicine,Inner Mongolia Autonomous Region People's Hospital,Hohhot 010017,China;Department of Ultrasound,Inner Mongolia Autonomous Region People's Hospital,Hohhot 010017,China)
出处
《新发传染病电子杂志》
2021年第4期331-335,共5页
Electronic Journal of Emerging Infectious Diseases
基金
内蒙古自治区人民医院博士科研启动基金(2019BS07)
内蒙古自治区自然科学基金项目(2017MS(LH)0850)。
关键词
布鲁氏菌病
脊柱炎
磁共振成像
X线摄影
Brucellosis
Spondylitis
Magnetic resonance imaging
Radiographic
作者简介
通信作者:张晓琴,Email:xiaoqin1498@163.com。
