中国组织工程研究Issue(4)：499-504,6.DOI:10.3969/j.issn.2095-4344.2014.04.002
MRI及病理学鉴别早期化脓性脊柱炎及布氏杆菌脊柱炎中的应用及价值
MRI and pathological discrimination of early pyogenic spondylitis from brucella spondylitis
刘涛 1孙建民 1崔新刚 1蒋振松1
作者信息
- 1. 山东大学附属省立医院脊柱外科，山东省济南市 250012
- 折叠
摘要
Abstract
BACKGROUND:Pathological examination and MRI have been widely used in clinic, but their combination is rarely reported in discrimination of early spine infections. <br> OBJECTIVE:To determine the accuracy of pathology and MRI for discrimination between early pyogenic spondylitis and brucella spondylitis. <br> METHODS:Twenty-two patients with pyogenic spondylitis and 20 patients with brucella spondylitis who had CT-guided percutaneous biopsy and MRI of the spine were retrospectively reviewed. Pathological observations included structure and activity of bone lesions, tissue cells and their main components;MRI observations included signal and sign changes at lesion sites. Statistical analysis was performed with the chi-square test. <br> RESULTS AND CONCLUSION:The patients with pyogenic spondylitis had a significantly higher incidence of pathological and MRI findings as fol ows (P<0.05):neutrophil infiltration;intervertebral disc abnormal signal, location of vertebral body lesions anterior+posterior, obviously shape change in the vertebral body, paraspinal abnormal signal, presence of intraosseous or paraspinal abscess. Pathological and MRI examination was accurate for early differentiation of pyogenic spondylitis from brucella spondylitis.关键词
植入物/脊柱植入物/病理学/MRI/化脓性脊柱炎/布氏杆菌脊柱炎/早期/鉴别诊断Key words
pathology/magnetic resonance imaging/spondylitis/early diagnosis/diagnosis, differential分类
医药卫生引用本文复制引用
刘涛,孙建民,崔新刚,蒋振松..MRI及病理学鉴别早期化脓性脊柱炎及布氏杆菌脊柱炎中的应用及价值[J].中国组织工程研究,2014,(4):499-504,6.
