布氏杆菌性脊柱炎的CT及MRI表现

发布时间：2018-03-29 20:06

本文选题：布氏杆菌病　切入点：脊柱炎　出处：《临床放射学杂志》2017年09期

【摘要】：目的探讨布氏杆菌性脊柱炎(BS)的CT及MRI表现,以提高对本病的诊断及鉴别诊断水平。方法回顾性分析2013年至2015年本院经临床和/或病理证实的40例BS患者CT及MRI表现特点。结果 BS可侵犯脊柱任何部位,以腰椎最多,最易累及L4椎体,受累椎体骨膜增厚,边缘性骨质破坏伴有骨质增生硬化,使椎体边缘呈"花边椎"改变,小破坏区无死骨,破坏范围较大时可见死骨,椎体形态变化不大,椎间盘破坏轻,椎周脓肿局限无流注,其内无钙化,多不累及腰大肌。结论 BS的影像学表现具有特征性,CT及MRI能为BS的诊断提供影像学依据,具有较高临床价值。
[Abstract]:Objective to investigate the CT and MRI findings of brucellosis spondylitis. Methods the CT and MRI features of 40 patients with BS confirmed by clinical and / or pathological findings from 2013 to 2015 were analyzed retrospectively. Results BS could invade any part of the spine, and lumbar vertebrae was the most common. The most easily involved L4 vertebrae was the periosteum thickening of the involved vertebral body, the marginal bone destruction accompanied by hyperosteogenesis and sclerosis, which made the edge of the vertebral body appear as "lace vertebrae". There was no dead bone in the small damaged area, and the dead bone could be seen when the damaged area was larger, and the vertebral body morphology was not changed much. Disc destruction was mild, perivertebral abscess was localized without drainage, calcification was not found, and psoas major muscle was not involved. Conclusion CT and MRI features of BS can provide imaging basis for diagnosis of BS and have high clinical value.
【作者单位】：兰州军区兰州总医院影像诊断中心;
【分类号】：R445.2;R681.5;R816.8

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