慢性布鲁菌性脊椎炎和脊椎结核CT表现比较  

Comparative Study with Chronic Brucellar and Tuberculous Spondylitis CT Findings

作　　者：哈振国[1] 蔡中[1] 黄嗣王[1] 

机构地区：[1]宁夏回族自治区人民医院放射科

出　　处：《临床放射学杂志》1998年第5期294-296,共3页Journal of Clinical Radiology

摘　　要：目的：比较慢性布鲁菌性脊椎炎和脊椎结核的ＣＴ特征以及对鉴别诊断的意义。材料与方法：对经临床确诊，Ｘ线阳性的１５例布鲁菌性脊椎炎和１７例脊椎结核患者作ＣＴ扫描。其中６例布鲁菌病患者于６年前作过同部位ＣＴ扫描。结果：布鲁菌病：骨破坏灶小（２～５ｍｍ）而多发，多局限于椎体边缘，病灶周围明显增生硬化，新生骨组织中又有新破坏灶形成，椎间盘破坏，关节面增生硬化，相邻骨密度增高，少或无椎旁脓疡形成。结核：以椎体和椎间盘骨破坏为主并有死骨形成，椎旁脓疡（脓肿）和骨质疏松变化比较常见。结论：根据ＣＴ特征及临床。Objective: To analyse CT findings of the brucellar spondylitis and the spinal tubrculosis and evaluation in differential diagnosis.Materials and Methods:15 cases of brucellar spondylitis and 17 spinal tuberculosis with confirmed clinical and positive X ray were examined by CT. In which, 6 brucellar spondylitis were examined by CT in same position 6 years ago.Results:The brucellosis: Multi focal small bony destruction, obvious osteosclerosed zone and in which recurented destruction, bone destruction limited to the vertebral rim, narrowing of intervertebral space, sclerosing of joint face, no paraspinal absess. The tuberculosis: destraction of vertebral body and intervertebral disc and formation of sequester, disc collaps, gibbus deformity, osteoporosis and paraspinal abscesses with and without calcifications. Conclusion: It is possible to distinguish the chronic brucellar spondylitis and the spinal tuberculosis basis on CT findings and clincal demonstration.

关 键 词：脊椎炎 脊椎结核 CT 布鲁氏菌病 

分 类 号：R681.504[医药卫生—骨科学] R529.204[医药卫生—外科学]