布氏杆菌性脊柱炎MRI征象与病理对照分析  

MRI Signs in Brucella Spondylitis:Comparative Analysis with Pathologic Findings

作　　者：徐传辉[1] 孙爱君[2] 沈连芳 蒋常琴 蒋瑞生[1] 吴翠萍[3] 马智军[1] 王夕富[4,5] XU Chuanhui;SUN Aijun;SHEN Lianfang;JIANG Changqin;JIANG Ruisheng;WU Cuiping;MA Zhijun;WANG Xifu(Department of Radiology,Weifang Yidu Central Hospital;Department of Finance,Weifang Yidu Central Hospital;Department of Infectious Diseases,Weifang Yidu Central Hospital;Department of Radiology,Shanghai General Hospital,Shanghai Jiao Tong University School of Medicine;Department of Radiology,Jiangqiao Hospital of Jiading District of Shanghai)

机构地区：[1]潍坊市益都中心医院医学影像科 [2]潍坊市益都中心医院财务科 [3]潍坊市益都中心医院感染性疾病科 [4]上海交通大学附属第一人民医院放射科 [5]上海市嘉定区江桥医院放射科

出　　处：《中国医学计算机成像杂志》2021年第5期431-435,共5页Chinese Computed Medical Imaging

摘　　要：目的:分析布氏杆菌性脊柱炎MRI表现特征并与病理学特点对照,以提高对该病的诊断水平。方法:回顾性收集经临床及实验室检查确诊并治疗的布氏杆菌性脊柱炎患者69例,分析其临床表现及MRI征象,包括椎体好发部位、数目、形态、信号以及椎旁软组织情况,进一步结合文献分析其病理特点并与MRI表现进行对照和分析。结果:69例布氏杆菌性脊柱炎患者以腰椎受累最常见,多位于L4椎体(36例),且多为多个连续椎体受累(55例);受累椎体异常信号多局限于椎体边缘(39例);29例椎间隙不同程度狭窄,27例椎间盘受累;6例患者合并单侧或双侧腰大肌脓肿形成。结论:布氏杆菌性脊柱炎MRI表现具一定特征,能够反映其病理特点,结合MRI特征、实验室检查及临床表现能够对该病作出正确诊断。Purpose:To analyze the MRI features of brucella spondylitis(BS)by comparing with the pathologic findings of BS in order to improve the diagnostic accuracy for this disease.Methods:The clinical and laboratory findings of 69 patients with BS were collected retrospectively,from which the clinical and MRI features were analyzed,including predilection site,number,shape,signal and surrounding soft tissue.And then the pathologic findings were analyzed on the basis of literatures and compared with MRI findings.Results:Among 69 patients with BS,the lumbar involvement was the most common.The lesions located in L4 vertebrae in 36 cases and involved multiple consecutive vertebrae in 55 cases.The abnormal signals of involved vertebrae of 39 cases were confined to the edge of vertebrae.The intervertebral space was narrowed in 29 cases and the intervertebral disc was involved in27 cases.Unilateral or bilateral psoas abscess formation was found in 6 patients.Conclusion:MRI findings of brucella spondylitis are of some characteristics,which can reflect its pathologic findings.Combined with MRI features,laboratory examination and clinical data,it is easier to make a correct diagnosis.

关 键 词：布氏杆菌 脊柱炎 临床表现 磁共振成像 

分 类 号：R445.2[医药卫生—影像医学与核医学]