摘要
目的:探讨布氏杆菌性脊柱炎的影像学诊断特点,以提高对该病的诊断水平。方法:收治布氏杆菌性脊柱炎患者14例,均行CT和MR检查,以及血清凝集试验。结果:病变分布于腰椎,其中以L4发病率最高。特征性表现:骨破坏灶小而多发,且多局限于椎体边缘,灶周增生硬化,新生骨中有新破坏灶形成;椎体边缘新生骨赘加上其间的破坏灶构成"花边椎"样表现。结论:布氏杆菌脊柱炎具有特征性影像表现,鉴别诊断主要包括腰椎结核、化脓性脊柱炎。
Objective:To explore the characteristics of imaging diagnosis of brucella spondylitis,in order to improve the diagnostic level of the disease.Methods:14 cases with brucella spondylitis were selected.They all underwent CT and MR examination,and serum agglutination test.Results:Distribution of lesions was the lumbar.Among them,the incidence of L4 was the highest.Features:bone destruction range was small,and it was multiple.They were limited to the edge of the vertebral body.Peripheral was sclerosis.In new bone,there were new damage range.There was a 'lace vertebral' appearance formed by the new bone at the edge of the vertebral body and the destruction of lesion.Conclusion:Brucella spondylitis have characteristic imaging features.Differential diagnosis includes lumbar tuberculosis and suppurative spondylitis.
关键词
布氏杆菌病
脊柱炎
CT检查
磁共振成像
诊断
Brucellosis
Spondylitis
CT examination
Magnetic resonance imaging
Diagnosis
