论文部分内容阅读
背景:布鲁杆菌病性脊椎炎的发病率正逐渐升高,而其影像学分型有利于该病的标准化治疗及疗效评价。目的:探讨布鲁杆菌病性脊椎炎的影像学分型及其临床意义。方法:回顾分析2008年1月至2012年7月经临床及实验室检查确诊为布鲁杆菌病性脊椎炎的89例患者的影像学资料,依据X线、CT及MR影像学表现对患者进行分型。结果:布鲁杆菌病性脊椎炎的影像学分Ⅰ~Ⅴ型。Ⅰ型:椎体炎型,Ⅱ型:椎间盘炎型,Ⅲ型:骨膜炎型,Ⅳ型:椎旁脓肿或腰大肌脓肿型,Ⅴ型:脊髓神经型。两型以上为复合型。本组46例为复合型(51.69%),其中Ⅴ型伴有其他4种类型最多(45例);43例为单纯型(48.31%),其中Ⅰ型20例、Ⅱ型9例、Ⅲ型4例、Ⅳ型6例、Ⅴ型4例。31例通过非手术治愈,58例采用手术治疗,其中52例行病灶清除术、6例行经皮微创术治疗。本组89例均随访1年,痊愈83例,好转6例,愈后无复发。结论:布鲁杆菌病性脊椎炎影像学分型对临床诊治策略的制定具有参考价值及指导意义。
Background: The incidence of brucellic spondylitis is gradually rising, and its imaging type is conducive to the standardization of the disease treatment and efficacy evaluation. Objective: To investigate the imaging classification of brucellosis spondylitis and its clinical significance. Methods: The imaging data of 89 patients diagnosed as Brucellosis with spondylitis by clinical and laboratory tests from January 2008 to July 2012 were retrospectively analyzed. The patients were divided according to the X-ray, CT and MR imaging findings type. Results: The brucellosis spondylitis image credits Ⅰ ~ Ⅴ type. Type Ⅰ: vertebral body type, type Ⅱ: disc type, type Ⅲ: type of periostitis, type Ⅳ: paravertebral abscess or psoas abscess, Ⅴ type: spinal cord nerve type. Two or more for the composite type. The group of 46 cases was compound type (51.69%), the type Ⅴ was associated with the other four types (45 cases), the 43 cases were simple type (48.31%), of which type Ⅰ was 20, type Ⅱ 9, 4 cases, Ⅳ type 6 cases, Ⅴ type 4 cases. 31 cases were cured by non-operation, 58 cases were treated by surgery, of which 52 cases were treated by lesion and 6 cases were treated by percutaneous minimally invasive surgery. The group of 89 patients were followed up for 1 year, 83 cases were cured, improved in 6 cases, no recurrence after healing. Conclusion: Brucella aortic spondylitis imaging classification of clinical diagnosis and treatment strategy has reference value and guiding significance.