布氏杆菌性脊柱炎与脊椎结核的MRI表现及鉴别诊断  

MRI manifestations and differential diagnosis of brucellosis spondylitis and spinal tuberculosis

作　　者：于培锋[1] 邱绍玲 牟新勇 夏晓丽[1] YU Peifeng;QIU Shaoling;MOU Xinyong;XIA Xiaoli(Imaging Department of Hanting District People's Hospital,Weifang 261100,China)

机构地区：[1]潍坊市寒亭区人民医院影像科,山东潍坊261100

出　　处：《潍坊医学院学报》2023年第5期382-384,共3页Acta Academiae Medicinae Weifang

摘　　要：目的分析探究布氏杆菌性脊柱炎与脊椎结核的MRI表现及鉴别诊断。方法选取2021年10月~2022年10月在我院诊治的28例布氏杆菌性脊柱炎患者作为观察组,同时段在我院诊治的36例脊椎结核患者作为对照组。所有患者均接受MRI检查,分析对比两组MRI检查结果、病变椎体分布情况以及MRI影像学特征。结果观察组与对照组在椎间隙变窄发生情况、骨质破坏类型、椎旁病变类型、椎体塌陷或成角等方面比较,差异有统计学意义(P<0.05)。观察组28例布氏杆菌性脊柱炎患者共检出59个椎体受累,对照组36例脊椎结核患者共检出85个椎体受累。结论布氏杆菌性脊柱炎与脊椎结核的MRI影像学表现存在较大差别,结合临床症状可准确鉴别。Objective To analyze and explore the MRI manifestations and differential diagnosis of brucellosis spondylitis and spinal tuberculosis.Methods Twenty-eight patients with brucellosis spondylitis diagnosed and treated in our hospital from October 2021 to October 2022 were selected as the observation group,while 36 patients with spinal tuberculosis diagnosed and treated in our hospital during the same period were selected as the control group.All patients received MRI examination,and the results of the two sets of MRI examinations,the distribution of the lesion vertebral body,and MRI imaging features were analyzed and compared.Results There were significant differences between the observation group and the control group in the occurrence of intervertebral space narrowing,types of bone destruction,types of paravertebral lesions,vertebral collapse or angulation,and the differences were statistically significant(P<0.05).A total of 59 vertebral bodies were detected in the observation group of 28 patients with Brucella spondylitis,while 85 vertebral bodies were detected in the control group of 36 patients with spinal tuberculosis.Conclusion There is a significant difference in MRI imaging manifestations between brucellosis spondylitis and spinal tuberculosis,and a more accurate differential diagnosis can be made by combining the clinical symptoms of the patient.

关 键 词：布氏杆菌性脊柱炎 脊椎结核 MRI影像学表现 鉴别诊断 

分 类 号：R529.2[医药卫生—内科学]