慢性布鲁氏菌病脊柱炎与腰椎结核影像学鉴别诊断

Chronic Brucellosis Spondylitis and Lumbar Spinal Tuberculosis Imaging Diagnosis

目的:探讨慢性布鲁氏菌病脊柱炎与腰椎结核影像学鉴别诊断。方法:回顾性分析近5年内经临床诊断为慢性布鲁氏菌病及腰椎结核DR、CT、MRI资料。结果:影像学表现:慢性布鲁氏菌病脊柱炎与腰椎结核均可出现不同程度椎体骨质破坏及椎旁脓肿,慢性布鲁氏菌病脊柱炎与腰椎结核骨质破坏程度不同,椎旁脓肿量及范围有差别。结论:DR、CT、MR对慢性鲁氏菌病脊柱炎与腰椎结核影像学鉴别诊断具有重要意义。

Objective： To discuss the differential imaging diagnosis of Chronic brucellosis spondylitis and lumbar spinal tuberculosis.Methods：A retrospective analysis of Nearly five years of clinically diagnosed as chronic lumbar cone chronic brucellosis and TB DR,CT,MRI data.Result：Imaging findings：Chronic brucellosis spondylitis and lumbar spinal tuberculosis can appear different degree of vertebral body bone destruction and vertebral abscess, Chronic brucellosis spondylitis, unlike lumbar tuberculosis of bone destruction, vertebral abscess by quantity and scope.Conclusion：DR,CT and MR in chronic corns disease rachitis and lumbar spinal tuberculosis imaging has important significance in differential diagnosis.