133例布鲁氏菌病脊柱炎的影像学研究  

Study on 133 cases of brucellosis spondylitis imaging

作　　者：张鹏[1] 张明香[1] 杨军研 刘洪艳[1] 宋继业[1] 戴越 Zhang Peng;Zhang Mingxiang Yang Junyan;Liu Hongyan;Song Jiye;Dai Yue(Radiology department of the Sixth people＇s hospital of Shenyan)

机构地区：[1]沈阳市第六人民医院放射科,辽宁沈阳110006

出　　处：《辽宁医学杂志》2018年第4期42-46,共5页Medical Journal of Liaoning

摘　　要：目的探讨布鲁氏菌病性脊柱炎CT、MRI表现,为临床检查、疾病的早期诊断及治疗提供一定的依据。方法选取沈阳市第六人民医院2015年1月至2015年12月布鲁氏菌性脊柱炎患者133例,采用回顾性分析方法,对其影像学特征进行收集、整理、分析。结果布鲁氏菌性脊柱炎患者133例,男性多于女性,以腰椎发病最多;多个椎体受累多于单个椎体受累; CT主要表现为骨破坏小而多发,多局限于椎体边缘,周边见增生、硬化,累及椎旁可见椎旁软组织肿胀或脓肿形成,MRI表现骨破坏区长T1、长或混杂T2改变,椎旁及椎管受累者可表现椎旁或椎管内异常高信号改变,压脂序列呈高信号改变,增强扫描病变部位可不均匀强化。结论布鲁氏菌病脊柱炎有特征性CT、MRI表现,MRI对椎旁、椎管脓肿观察敏感性要高于CT。Objective To explore the CT and MRI manifestations of brucellosis spondylitis,and provide a basis for clinical examination,early diagnosis and treatment of diseases. Methods Based on 133 brucellosisspondylitis cases were selected in the Sixth People＇s Hospital of Shenyangfrom January 2015 to December 2015,and the imaging features were collected,sorted and analyzed by retrospective analysis. Results 133 cases of brucellosis spondylitis patients,more men than women,with the highest incidence of lumbar spine; multiple vertebral bodies involved more than a single vertebral involvement. CT showed bone destruction was minute and multiple,which confined to the vertebral body edge,and obvious proliferation hardening is around the lesions,Involvement para-vertebral showed the para-vertebral soft tissue swelling and abscess formation; MRI showed the bone destruction were hypointense changeon T1,mixed signal or hyperintensity change on T2,paravertebral and spinal involvement can show the abnormal high signal of paravertebral or spinal canal,STIR showed high signal change,enhanced scanning lesions can be enhanced. Conclusion The brucellosis spondylitis has characteristic CT and MRI appearance. MRI was more sensitive than CT scan in detecting the paravertebral abscess.

关 键 词：布鲁氏菌病 脊柱炎 CT、MRI 影像学表现 

分 类 号：R516.7[医药卫生—内科学] R445.2[医药卫生—临床医学] R816.8