慢性布氏菌性脊柱炎DR、CT及MRI影像征象特点及临床指导价值研究  

Features of DR,CT,and MRI Images of Chronic Brucellosis Spondylitis and Its Clinical Guiding Value

作　　者：何昊 何强[1] 王喆[1] 雷国伟 周伟 HE Hao;HE Qiang;WANG Zhe;LEI Guo-wei;ZHOU Wei(Department of Orthopedics,Bazhong Hospital of Traditional Chinese Medicine,Bazhong 636000,Sichuan Province,China)

机构地区：[1]巴中市中医院骨伤科,四川巴中636000

出　　处：《中国CT和MRI杂志》2021年第9期164-166,共3页Chinese Journal of CT and MRI

基　　金：四川省卫生和计划委员会基础研究面上项目(17003212)。

摘　　要：目的分析慢性布氏菌性脊柱炎DR、CT及MRI影像征象特点及临床指导价值。方法选取了本院2017年2月至2019年9月收治的64例慢性布氏菌性脊柱炎作患者为研究对象。分析慢性布氏菌性脊柱炎的DR、CT及MRI影像征象特点,比较不同检查诊断慢性布氏菌性脊柱炎5种影像学征象阳性率。结果MRI检查椎体骨质破坏、椎体骨质硬化、椎间盘异常影像、椎旁脓肿征象的阳性率高于DR、CT检查(P<0.05);椎间隙狭窄的阳性率比较无差异(P>0.05)。DR检查,53例患者椎体骨质破坏同时还伴有骨质硬化,11例可见椎体前缘上下角的骨皮质模糊;55例可见相邻椎间隙狭窄;CT检查,60例患者可见“花边椎”,“岛屿状”;3例可见椎旁脓肿,与椎体破坏区相连。MRI可见T_(1)WI呈稍低信号,T2WI呈高信号,信号混杂,STIR可见较高信号影。结论DR、CT及MRI检查均可有效显示慢性布氏菌性脊柱炎的影像学特点,通过分析影像学表现可有效诊断和鉴别诊断慢性布氏菌性脊柱炎,为治疗方案提供可靠资料。Objective To analyze the features of DR,CT,and MRI images of chronic brucellosis spondylitis and its clinical guiding value.Methods 64 patients with chronic brucellosis spondylitis admitted to our hospital from February 2017 to September 2019 were selected.The features of DR,CT,and MRI images of chronic brucellosis spondylitis were analyzed,and the positive rates of five imaging signs of chronic brucellosis spondylitis were compared.Results The positive rate of the sign of vertebral bone destruction,vertebral osteosclerosis,intervertebral disc abnormality,and paravertebral abscess detected by MRI was higher than that by DR and CT(P<0.05),but there was no difference in the positive rate of intervertebral space stenosis(P>0.05).In the DR examination,53 patients with vertebral bone destruction were accompanied by osteosclerosis,11 cases showed that the cortical bone in the upper and lower corners of the leading edge of the vertebral body was blurred,55 cases showed adjacent intervertebral space stenosis.In the CT examination,60 patients showed"lace vertebrae","island-like",3 cases showed paravertebral abscess connected with the destruction area of the vertebral body.MRI showed a slightly lower signal on T_(1)WI,a high signal on T2WI.Signals were mixed,and STIR can be seen with higher signal shadows.Conclusion DR,CT,and MRI can effectively display the imaging features of chronic brucellosis spondylitis.By analyzing imaging features,it can effectively diagnose and differentially diagnose chronic brucellosis spondylitis and provide reliable information for treatment.

关 键 词：DR CT MRI 慢性布氏菌性脊柱炎 

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