多节段布鲁菌性脊柱炎与脊柱结核MRI特征分析

目的 探讨多节段布鲁菌性脊柱炎(BS)及脊柱结核(ST)在MRI中的不同影像特点,从而提高早期诊断及鉴别诊断水平.方法 回顾性分析33例由临床或病理确诊为多节段BS患者、30例多节段ST患者,根据两者MRI表现,分析其发生部位、椎体形态、周围组织情况及伴随征象.结果 多节段BS患者的椎体形态、椎间盘受累、后凸畸形、死骨...

MRI features of multi-segmental brucella spondylitis and spinal tuberculosis

Objective To explore the different imaging characteristics of multi-segment brucella spondylitis (BS) and spinal tuberculosis (ST) in magnetic resonance imaging (MRI), so as to improve the level of early diagnosis and differential diagnosis. Methods Retrospective analysis was performed in 33 patients with multi-segment BS and 30 patients with multi-segment ST, who were diagnosed clinically or pathologically. Lesion location, vertebral body shape, surrounding tissues,and accompanying signs were studied according the different manifestations on MRI. Results The proportion of vertebral morphology, intervertebral disc involvement, kyphosis, sequestrum and calcification, paravertebral abscess were significantly different between the patients with multi-segmental BS and the patients with multi-segmental ST (P<0.05). Conclusion MRI findings of multi-segment BS and ST are different, MRI is helpful in differential diagnosis.