布氏杆菌脊柱炎的MRI诊断

发布时间：2018-05-20 03:03

本文选题：脊柱炎 + 布氏杆菌病　；参考：《临床放射学杂志》2017年09期

【摘要】：目的探讨布氏杆菌脊柱炎(BS)的MRI表现,以提高对该病的认识及诊断水平。方法回顾性分析经临床及实验室确诊或手术病理证实的57例BS患者的MRI平扫及增强扫描影像表现。结果 40例行MRI平扫加增强扫描,17例MRI平扫,累及骶椎10例(17%),腰椎52例(91%),胸椎8例(14%),颈椎3例(5%),"跳跃性"发病4例(7%)。BS可侵犯脊柱任何部位,以腰椎多见,椎体边缘"虫蚀"样骨质破坏,可伴有骨质增生,椎体形态多无明显变化,椎间盘炎性改变较轻,椎间隙无或轻度狭窄,椎旁、椎管内硬膜外脓肿及腰大肌脓肿显示清楚;大部分病例可见腰背部肌肉肿胀及皮下水肿征象。结论 MRI影像表现在诊断及鉴别诊断BS方面具有较高的价值。
[Abstract]:Objective to investigate the MRI findings of Brucella spondylitis (BSS) in order to improve the recognition and diagnosis of the disease. Methods 57 cases of BS confirmed by clinic and laboratory or confirmed by operation and pathology were analyzed retrospectively on MRI plain scan and contrast-enhanced imaging. Results MRI plain scan and enhanced scan were performed in 17 cases, sacral vertebrae were involved in 17 cases, lumbar vertebrae in 52 cases, thoracic vertebrae in 8 cases, cervical spine in 3 cases, and the incidence of "jumping" in 4 cases, 7 cases were involved in any part of the spine, most of them were lumbar vertebrae. The destruction of "wormlike" bone on the edge of the vertebral body may be accompanied by bone hyperplasia, with no obvious changes in the morphology of the vertebral body, less inflammatory changes in the intervertebral disc, no or slight stenosis in the intervertebral space, and a clear display of the epidural abscess and the abscess of the psoas major muscle in the paravertebral, intraspinal epidural and psoas muscles. In most cases, swelling of back muscles and subcutaneous edema were seen. Conclusion MRI imaging is valuable in diagnosis and differential diagnosis of BS.
【作者单位】：首都医科大学附属北京地坛医院放射科;
【分类号】：R445.2;R681.5

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