磁共振与CT在布鲁氏杆菌脊柱炎患者中的诊断价值对比

Comparison of the Diagnostic Value of Magnetic Resonance Imaging and CT in Patients with Brucella Spondylitis

目的:探究磁共振(MRI)与CT在布鲁氏杆菌脊柱炎患者中的诊断价值及对比。方法:选取河南大学第一附属医院2019年12月—2020年12月期间确诊的80例布鲁氏杆菌脊柱炎患者,所有选入的患者均符合布式杆菌脊柱炎的诊断标准,所有患者分别进行CT和MRI影像学检查,并根据影像学检查结果和病史对患者进行诊断,记录CT及MRI中的特征表现。将依据CT和MRI诊断的结果与血清学诊断的结果进行对比,评价两种影像学检查方法诊断布鲁氏杆菌脊柱炎的价值。结果:在慢性期,依据CT结果诊断24例布鲁氏杆菌脊柱炎,MRI诊断布鲁氏杆菌脊柱炎25例,两组患者对比,差异无统计学意义(χ^(2)=0.163,P>0.05)。在亚急性期,CT诊断布鲁氏杆菌脊柱炎22例,MRI诊断布鲁氏杆菌脊柱炎32例,两组患者相比,差异有统计学意义(χ^(2)=8.995,P<0.05)。在急性期CT诊断布鲁氏杆菌脊柱炎1例,MRI诊断布鲁氏杆菌脊柱炎18例,两组患者相比,差异有统计学意义(χ^(2)=19.314,P<0.05)。结论:在布鲁氏杆菌脊柱炎急性期及亚急性期MRI有较高的诊断价值,在慢性期CT和MRI的诊断价值无显著差异,在临床工作中,临床医师可依据患者的病程选择相应的检查手段,避免过度医疗。

Objective:To explore the diagnostic value and comparison of magnetic resonance imaging(MRI)and CT in patients with Brucella spondylitis.Methods:A total of 80 patients with Brucella spondylitis diagnosed in the hospital from December 2019 to December 2020 were selected,and all the selected patients met the diagnostic criteria for Brucella spondylitis.All patients under⁃went CT and MRI imaging examinations,respectively,and the patients were diagnosed according to the imaging examination results and medical history,and the characteristic manifestations in MRI and CT were recorded.The results of CT and MRI diagnosis were compared with the results of serological diagnosis,and the value of the two imaging methods in the diagnosis of Brucella spondyli⁃tis was evaluated.Results:In the chronic phase,24 cases of Brucella spondylitis were diagnosed based on CT results,and 25 cases were diagnosed by MRI.There was no significant difference between the two groups(χ^(2)=0.163,P>0.05).In the subacute stage,22 cases of Brucella spondylitis were diagnosed by CT,and 32 cases were diagnosed by MRI,the difference was statistically significant between the two groups(χ^(2)=8.995,P<0.05).In the acute stage,1 case of Brucella spondylitis was diagnosed by CT,and 18 cases of Brucella spondylitis were diagnosed by MRI,and the difference was statistically significant(χ^(2)=19.314,P<0.05).Conclusion:MRI has higher diagnostic value in acute and subacute stages of brucellosis spondylitis,but there is no significant dif⁃ference in diagnostic value between MRI and CT in chronic stage.In clinical work,clinicians can choose corresponding examina⁃tion methods according to the course of the patients’disease to avoid excessive medical treatment.