慢性布氏菌性脊柱炎病程发展MRI评估及应用价值
发布时间：2019-02-21 16:00
【摘要】：目的通过MRI影像学表现,评价慢性布氏菌性脊柱炎患者处于病程的早期、进展期、愈合期,指导临床对该病治疗手段的选择以及治疗效果的评价。方法回顾性分析40例经临床确诊慢性布氏菌性脊柱炎患者的MRI影像资料,对处早期、进展期、愈合期患者的影像学征象进行总结、分析。结果 MRI显示椎体、椎间盘、椎旁及腰大肌内的异常信号时,椎间隙正常,为病变早期;在病变早期的基础上合并椎间隙狭窄,则为病变进展期;椎体信号为T1短T2信号或椎体信号与正常椎体一至,并椎间隙狭窄,为病变的愈合期。结论根据慢性布氏菌性脊柱炎在病程发展中的特异性影像学表现,可对慢性布氏菌性脊柱炎进行分期评估,指导临床选择合理的治疗手段。
[Abstract]:Objective to evaluate the early stage, advanced stage and healing stage of chronic brucella spondylitis by MRI imaging findings. Methods the MRI imaging data of 40 patients with chronic brucellosis were analyzed retrospectively. Results when abnormal signals in vertebral body, intervertebral disc, vertebral side and psoas major muscle were displayed by MRI, the intervertebral space was normal, which was the early stage of lesion, and the stenosis of intervertebral space was advanced on the basis of early lesion. The signal intensity of the vertebral body was T 1 short T 2 signal or the signal intensity of the vertebral body was 1 to 1 to the normal vertebral body and the intervertebral space was narrow which was the healing stage of the lesion. Conclusion according to the specific imaging findings of chronic brucellosis in the course of disease development, it can be used to evaluate the stage of chronic brucellosis and to guide the clinical selection of reasonable treatment methods.
【作者单位】： 中国人民解放军251医院放射线科;北京中医药大学东方医院放射科;
【基金】：张家口市2016年科学技术研究与发展计划(No.1621124H)资助~~
【分类号】：R445.2;R516.7;R681.5
本文编号：2427650
[Abstract]:Objective to evaluate the early stage, advanced stage and healing stage of chronic brucella spondylitis by MRI imaging findings. Methods the MRI imaging data of 40 patients with chronic brucellosis were analyzed retrospectively. Results when abnormal signals in vertebral body, intervertebral disc, vertebral side and psoas major muscle were displayed by MRI, the intervertebral space was normal, which was the early stage of lesion, and the stenosis of intervertebral space was advanced on the basis of early lesion. The signal intensity of the vertebral body was T 1 short T 2 signal or the signal intensity of the vertebral body was 1 to 1 to the normal vertebral body and the intervertebral space was narrow which was the healing stage of the lesion. Conclusion according to the specific imaging findings of chronic brucellosis in the course of disease development, it can be used to evaluate the stage of chronic brucellosis and to guide the clinical selection of reasonable treatment methods.
【作者单位】： 中国人民解放军251医院放射线科;北京中医药大学东方医院放射科;
【基金】：张家口市2016年科学技术研究与发展计划(No.1621124H)资助~~
【分类号】：R445.2;R516.7;R681.5
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