摘要
目的:探讨脊椎慢性布氏菌病影像表现。方法:回顾性分析10例脊椎慢性布氏菌病患者的影像学表现。结果:脊椎慢性布氏菌患者的影像学表现:①椎体破坏同时伴有增生硬化;②破坏的椎体前上角缺如、碎裂,局部可见游离的碎骨块;③椎间隙狭窄;④可同时累及多个椎体;⑤未见椎旁或腰大肌脓肿。结论:椎体破坏、硬化、椎间隙狭窄、无椎旁脓肿并结合患者来自牧区,应考虑布氏菌病的可能,确诊则依赖实验室检查。
Objective：To discuss the imaging findings of chronic Brucellosis of vertebral spine.Methods：The imaging findings of ten cases with chronic Brucellousis of vertebral spine were retrospectively analyzed.Results：The imaging findings of chronic Brucellosis of vertebral spine were as follows：① destruction of the vertebral body associated with bony proliferation and sclerosis;② defect and fragmentation of the upper anterior part of the destructed vertebral body,free bony fragments could be revealed locally;③ narrowing of the inter-vertebral space;④ multiple vertebral bodies could be involved simultaneously;⑤ no paraspinal or psoas muscle abscess was showed.Conclusion：Chronic Brucellosis should be considered when patient come from the stock-raising area and showing vertebral spine destruction accompanied with bone sclerosis,narrowing of inter-vertebral space yet without para-spinal or psoas muscle abscess.The final diagnosis is depended on the result of laboratory examination.
出处
《放射学实践》
2008年第9期1041-1043,共3页
Radiologic Practice
