艾滋病患者椎旁脓肿的CT及MRI影像学表现分析  

CT and MRI Imaging Features of Paraspinal Abscess in AIDS Patients

作　　者：黄德扬[1] 刘晋新[1] 丁岩[1] 张烈光[1] 

机构地区：[1]广州市第八人民医院放射科,广东广州510060

出　　处：《中国CT和MRI杂志》2016年第9期120-123,共4页Chinese Journal of CT and MRI

基　　金：广州市医药卫生科技重点项目(20121A021015)

摘　　要：目的探讨艾滋病患者椎旁脓肿的CT及MRI影像学表现。方法回顾性分析35例艾滋病患者椎旁脓肿的CT及MRI影像表现。结果 35例艾滋病相关椎旁脓肿,结核性脓肿30例,非特异性化脓性脓肿5例。23例出现脊柱骨质破坏者均为结核性脓肿,其中4例患者可见椎体塌陷;14例病变可见硬膜外脓肿,其中13例为结核性脓肿。结论艾滋病患者椎旁脓肿以结核分枝杆菌感染多见,影像表现上结核分枝杆菌骨质破坏分布范围更广泛,常见硬膜外脓肿,磁共振及CT检查为首选影像检查方法。Objective To study the CT and MRI imaging features of paraspinal abscess in AIDS patients. Methods Retrospective review of CT and MRI imaging features of 35 patients with AIDS-related paraspinal abscess, Results In 35 cases of HIV/AIDS, 30 cases are tuberculosis, 5 cases are non-tuberculous mycobacteria, 23 cases with bone destruction is TB, Vertebral collapse in 4 patients, 14 cases of epidural abscess,among these 13 cases were tuberculosis patients. Conclusion For Most AIDS patients with vertebral abscess by Mycobacterium tuberculosis infection,CT and MRI showed that the bone destruction of Mycobacterium tuberculosis was more extensive,common epidural abscess. MRI and CT are preferred imaging methods.

关 键 词：椎旁脓肿 艾滋病 结核分枝杆菌 

分 类 号：R445.3[医药卫生—影像医学与核医学] R529.2[医药卫生—诊断学]