新发传染病电子杂志2024，Vol.9Issue(6)：32-35,4.DOI:10.19871/j.cnki.xfcrbzz.2024.06.006
基于临床及生物学检查的布鲁氏菌性脊柱炎MRI征象分析
Analysis of MRI signs of Brucella spondylitis based on clinical and biological examinations
摘要
Abstract
Objective Analyze the MRI imaging characteristics of Brucella spondylitis to provide assistance for further clinical diagnosis and treatment.Method Retrospective analysis of spinal MRI imaging data confirmed by clinical pathology or biological examination from January 2022 to January 2024 for Brucella spondylitis,Statistical analysis of characteristic data,including the location and number of affected vertebral bodies,the morphology and signal intensity of affected vertebral bodies,the morphology and signal intensity of affected intervertebral discs,as well as changes in intervertebral spaces and paraspinal soft tissues.Result 23 patients with Brucella spondylitis comprised 16 males and 7 females,aged from 37 to 82 years with an average of 62.8 years.Lesions were identified in 2 cervical,1 thoracic,and 2 sacral vertebra,with up to 18 cases in the lumbar vertebrae.A total of 45 vertebral bodies were affected,with the L4 vertebra being the most frequently involved(16 cases),sometimes extending to adjacent vertebral edges.In 23 cases,vertebral bodies exhibited abnormal morphology and signal,similarly,18 cases had abnormal intervertebral disc morphology and signal,an incidence of 78.2％,12 cases had intervertebral space abnormalities,an incidence of 52.2％,and 3 cases had paravertebral abnormalities,an incidence of 13.0％.The formation of osteophyte at the anterior edge of the diseased vertebral body(parrot beak sign)is a characteristic manifestation of BS,with MRI T1WI showing iso low signal and T2WI showing high signal.Conclusion MRI has certain advantages in the diagnosis of Brucella spondylitis.Drawing upon clinical presentations and biological assessments,along with MRI imaging features,one can accurately diagnose the condition.关键词
布鲁氏菌/磁共振成像/脊柱炎Key words
Brucellosis/Magnetic resonance imaging/Spondylitis分类
医药卫生引用本文复制引用
尹松涛,丁海涛,李俊林,张晓琴,赵楠,马宇婷..基于临床及生物学检查的布鲁氏菌性脊柱炎MRI征象分析[J].新发传染病电子杂志,2024,9(6):32-35,4.基金项目
1.内蒙古自治区卫生健康委医疗卫生科技计划项目(202201054) （202201054）
2.内蒙古医学科学院公立医院科研联合基金科技项目(2023GLLH0060)3.内蒙古自治区医师协会临床医学研究和临床新技术推广项目(YSXH2024KYF001) （2023GLLH0060）
