ISSN 1004-4140
    CN 11-3017/P

    布鲁氏菌性脊柱炎CT/MRI诊断临床案例分析

    A Clinical Case Analysis of CT/MRI Diagnosis of Brucella Spondylitis

    • 摘要: 本文报道一例布鲁氏菌性脊柱炎的临床案例,布鲁氏菌性脊柱炎患者主要表现为腰背痛伴发热。CT能清晰呈现腰椎体的骨质破坏、边缘性骨赘形成及椎间盘狭窄;MRI能清晰显示椎体及椎间盘的炎性水肿、邻近椎旁软组织的肿胀与脓肿形成,以及硬膜外受累情况,通过分析其CT与MRI影像学特征,有利于提高影像科医师对于该病的诊断水平,对于临床医师早期干预具有重要价值。

       

      Abstract: This report describes a clinical case of Brucella spondylitis. Patients with Brucella spondylitis typically present with low back pain accompanied by fever. Computed tomography (CT) demonstrates destruction of the lumbar vertebral bodies, marginal osteophyte formation, and narrowing of the intervertebral disc spaces. Magnetic resonance imaging (MRI) may reveal inflammatory edema of the vertebral bodies and intervertebral discs, swelling and abscess formation in adjacent paravertebral soft tissues, and epidural involvement. Analysis of these CT and MRI features can assist the radiologist in improving diagnostic accuracy and is of significant value for early clinical intervention.

       

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