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目的:探讨布鲁菌病脊柱炎与脊柱结核的MRI表现,以提高二者鉴别诊断水平。材料与方法:回顾性分析4例布鲁菌病脊柱炎和37例脊柱结核患者的MRI表现。结果:布鲁菌病脊柱炎腰椎发病率最高,骨质破坏轻,常伴增生、硬化,无脊柱畸形,椎旁脓肿小而多发;脊柱结核分布于胸腰段,骨质破坏明显,椎间隙变窄明显,脊柱畸形多见,常见椎旁脓肿钙化,腰大肌脓肿常向下灌注。结论:布鲁菌病脊柱炎与脊柱结核的MRI表现有一定特征,但需结合病史及实验室检查方可及时作出鉴别诊断。
Objective: To investigate the MRI findings of brucellosis spondylitis and spinal tuberculosis in order to improve their differential diagnosis. Materials and Methods: MRI findings of 4 cases of Brucella spondylitis and 37 cases of spinal tuberculosis were retrospectively analyzed. Results: Brucellosis spondylitis has the highest incidence of lumbar spine, light bone destruction, often accompanied by hyperplasia, sclerosis, no spinal deformity, small and frequent paravertebral abscess; spine tuberculosis distribution in the thoracolumbar, bone destruction, disc space Narrowed significantly, more common spinal deformity, common paravertebral abscess calcification, pus pus often downward perfusion. Conclusion: Brucellosis spondylitis and spinal tuberculosis have some characteristics of MRI, but combined with history and laboratory tests can be made in time for differential diagnosis.