摘要
Abstract
To study the value of DR,CT-3D reconstruction and MRI in the dignosis of the brucellosis spondylitis.Method:Thirty three patients with brucellosis spondylitis treated in General Hospital of Ningxia Medical University from 2010 to 2013 were randomly selected in this study.Diagnosis of all the patients were confirmed by means of surgery,pathological and laboratory examinations.The effect of DR,CT-3D reconstruction and MRI were compared in the dignosis of the brucellosis spondylitis.Result:DR was in the dominant place to display changes in the intervertebral space,CT-3D reconstruction was a high displacement in the vertebral bone destruction,sequestrum,sclerotic bone and changes of ligaments,MRI was better than DR and CT-3D reconstruction mainly on the disc destruction,paraspinal abscess ,aspects of periosteal changes and granuloma formation.The combination of before two could improve the display rate of various signs in brucellosis spondylitis.The combination of all three was able to make a comprehensive and accurate diagnosis of the disease.In the diagnosis rate,DR was 54.5%in the diagnosis of brucellosis spondylitis compliance,CT-3D reconstruction was 90.9%,MRI was 93.9%.The combination of before two was 97.0%in the diagnosis of brucellosis spondylitis.The combination of all three was 100%.After statistical analysis,DR and CT-3D reconstruction,DR and MRI were significantly different diagnostic accuracy(P<0.05).There was no different in the diagnostic accuracy of CT-3D reconstruction and MRI(P>0.05).The combination of DR and CT-3D reconstruction,the combination of all three showed no significant differences(P>0.05).There was significantly different in the joint inspection compared with separate check(P<0.05).Conclusion:The combination of DR,CT-3D reconstruction,MRI can be the effective method to fully and accurately show the signs of pathology in brucella spondylitis.The combination of DR,CT-3D reconstruction,MRI in the diagnosis of brucellosis spondylitis can achieve excellent results.关键词
布氏杆菌性脊柱炎/DR/CT三维重建/MRIKey words
Brucellosis spondylitis/DR/CT-3D reconstruction/MRI
