| MRI诊断布鲁氏菌性髋关节炎 |
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| 引用本文： | 王艳,刘文亚,李梅. MRI诊断布鲁氏菌性髋关节炎[J]. 中国医学影像技术, 2019, 35(10): 1545-1548 |
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| 作者姓名： | 王艳 刘文亚 李梅 |
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| 作者单位： | 新疆医科大学第一附属医院影像中心, 新疆 乌鲁木齐 830054,新疆医科大学第一附属医院影像中心, 新疆 乌鲁木齐 830054,新疆维吾尔自治区第六人民医院中西医结合科, 新疆 乌鲁木齐 830013 |
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| 基金项目： | 新疆维吾尔自治区面上项目（2017D01A65）、新疆维吾尔自治区第六人民医院2018年度院内科研课题项目（QLY-KY-2018004）。 |
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| 摘 要： | 目的 分析布鲁氏菌性髋关节炎（BAH）MRI特征。方法 回顾性分析100例BAH患者临床及MRI资料，依据临床病史描述症状持续时间及发病部位进行分期与分型。结果 100例BAH中，男84例，女16例；单侧关节受累61例，双侧关节受累39例。MRI表现以急性期及全关节型最多见；30例双侧BAH的MRI表现基本一致，9例不一致。伴随布鲁氏菌病抗体滴度成倍增加，BAH病变无明显成比例进展趋势；MRI可清楚显示BAH治疗后转归。结论 BAH男性常见，以单侧关节发病为主，全关节型常见；MR检查对早期诊断BAH具有优势。
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| 关 键 词： | 布鲁杆菌病 髋关节 磁共振成像 |
| 收稿时间： | 2019-02-01 |
| 修稿时间： | 2019-07-25 |
MRI in diagnosis of brucellosis arthritis in the hip |
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| WANG Yan,LIU Wenya and LI Mei. MRI in diagnosis of brucellosis arthritis in the hip[J]. Chinese Journal of Medical Imaging Technology, 2019, 35(10): 1545-1548 |
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| Authors: | WANG Yan LIU Wenya LI Mei |
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| Affiliation: | Medical Imaging Center, the First Affiliated Hospital, Xinjiang Medical University, Urumqi 830054, China,Medical Imaging Center, the First Affiliated Hospital, Xinjiang Medical University, Urumqi 830054, China and Department of Integrated TCM&Western Medicine, Xinjiang Uygur Autonomous Region Sixth People''s Hospital, Urumqi 830013, China |
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| Abstract: | Objective To observe MRI features of brucellosis arthritis of the hip (BAH). Methods Clinic and MRI data of 100 patients with BAH were retrospectively analyzed, and BAH were staged and typed based on the duration of symptoms and the location of disease. Results Among 100 BAH patients, 84 were males, 16 were females. Unilateral joint involvement was found in 61 cases, while bilateral joint involvements in 39 cases. The most common MRI findings of BAH were acute phase and total joint type. MRI findings of bilateral BAH were consistent in 30 cases and inconsistent in 9 cases. There was no obvious proportional progress in BAH lesions with increasing of serum agglutination test. MRI could clearly show the changes after BAH treatment. Conclusion BAH infection is common in males, mainly involving unilateral joint, and total joint type is common. MR examination has advantages in early diagnosis of BAH. |
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| Keywords: | brucellosis hip joint magnetic resonance imaging |
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