X线数字断层融合技术诊断布氏杆菌性脊柱炎的临床价值  

Clinical Value on X-ray Digital Tomosynthesis Imaging in the Application of Diagnosis in Brucellar Spondylitis

作　　者：巴图尔.吐尔地 火忠[1] 王辉[1] 赫娟[1] 

机构地区：[1]新疆维吾尔自治区人民医院放射科,新疆乌鲁木齐830001

出　　处：《新疆医学》2015年第1期26-29,共4页Xinjiang Medical Journal

摘　　要：目的:探讨X线数字断层融合技术(digital tomosynthesis,DTS)诊断布氏杆菌性脊柱炎的价值所在。方法:对18例临床疑诊的布氏杆菌病患者行腰椎DR、腰椎DTS成像。根据患者影像学表现作出诊断。结果:15例被临床或手术证实为布氏杆菌性脊柱炎,DR诊断8例,DTS成像诊断12例,诊断正确率分别为53.3%,80.0%。影像学主要表现为椎体上下缘骨性关节面下局灶性骨质破坏,部分椎体前上角碎裂或缺如;椎体边缘喙突状突出形成骨刺或骨桥;椎间隙变窄,椎体缘硬化。结论:应用DTS成像技术,可明显提高布氏杆菌性脊柱炎的诊断率,在其影像学诊断中有重要价值。Objective： To evaluate the clinical application value of X-ray digital Tomosynthesis（DTS） in brucellar spondylitis.Materials and methods： 18 patients suspected of brucellosis underwent DR and DTS on lumbar. The qualitative diagnosis was made by imaging findings in patients. Results： In 18 cases, 25 cases were proved to bebrucellar spondylitis. 8 cases were delineated by DR,12 cases by DTS. The accuracy of DR and DTS in diagnosis of brucellar spondylitis were 53.3% and 80.0%, respectively. There were some distincve findings of brucellar spondylitis. Main features were focal bony destruction with edge of vertebral body,partial fanterior angle of rupture or absent;fanterior edge coracoid outstanding form bone spurs or bone bridge;narrowing of intervertebral space and osteosclerosis. Conclusion： DTS imaging can significantly increase the qualitative diagnosis of brucellar spondylitis,has important value in imaging diagnosis.

关 键 词：数字化断层融合技术 布氏杆菌病 脊柱炎 

分 类 号：R734.2[医药卫生—肿瘤]