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目的分析磁共振成像(MRI)对布鲁杆菌性脊椎炎的诊断价值。方法回顾分析28例布鲁杆菌性脊椎炎患者椎体与椎间盘受累信号、病发部位、椎管内外脓肿形成及扩散范围、破坏程度、诊疗情况等。结果 28例患者胸椎、骶椎各3例,颈椎1例,腰椎21例,分别占10.71%、3.57%、75.00%;T2WI高信号21例,T1WI低信号25例;椎间盘明显异常信号为35.71%,病变椎体形态变化明显为25.00%,椎旁软组织异常信号为35.71%,椎旁或骨内脓肿形成为25.00%,硬膜外有脓肿形成为10.71%,牵涉椎体≥3个为3.57%。结论 MRI对布鲁杆菌性脊椎炎具有较高鉴别诊断价值。
Objective To analyze the diagnostic value of magnetic resonance imaging (MRI) in Brucella spondylitis. Methods A retrospective analysis of 28 cases of brucellic spondylitis vertebral body and intervertebral disc involvement signal, the site of the disease, the formation and spread of spinal abscess range, the extent of damage, diagnosis and treatment. Results Twenty-eight patients had 3 cases of thoracic and sacral vertebrae, 1 case of cervical spine and 21 cases of lumbar spine, accounting for 10.71%, 3.57% and 75.00% respectively; 21 cases of T2WI high signal and 25 cases of T1WI low signal; 35.71% , The pathological change of vertebral body was obviously 25.00%, the paravertebral soft tissue abnormal signal was 35.71%, the paravertebral or intraosseous abscess was 25.00%, the epidural abscess was 10.71%, the vertebral body ≥3 was 3.57% . Conclusion MRI has high differential diagnosis of Brucella spondylitis.