论文部分内容阅读
目的：比较慢性布鲁菌性脊椎炎和脊椎结核的ＣＴ特征以及对鉴别诊断的意义。材料与方法：对经临床确诊，Ｘ线阳性的１５例布鲁菌性脊椎炎和１７例脊椎结核患者作ＣＴ扫描。其中６例布鲁菌病患者于６年前作过同部位ＣＴ扫描。结果：布鲁菌病：骨破坏灶小（２～５ｍｍ）而多发，多局限于椎体边缘，病灶周围明显增生硬化，新生骨组织中又有新破坏灶形成，椎间盘破坏，关节面增生硬化，相邻骨密度增高，少或无椎旁脓疡形成。结核：以椎体和椎间盘骨破坏为主并有死骨形成，椎旁脓疡（脓肿）和骨质疏松变化比较常见。结论：根据ＣＴ特征及临床，布鲁菌病脊椎炎和脊椎结核不难诊断
Objective: To compare CT features of chronic brucellic spondylitis and spinal tuberculosis and its significance in differential diagnosis. MATERIALS AND METHODS: CT scan was performed on 15 clinically diagnosed, X-ray positive cases of Brucella spondylitis and 17 cases of spinal tuberculosis. 6 cases of brucellosis patients made the same site 6 months ago CT scan. Results: brucellosis: small lesions of bone destruction (2 ~ 5mm) and multiple, mostly confined to the edge of the vertebral body, significant proliferative sclerosis around the new bone formation in the new destructive lesions, disc destruction, articular surface hyperplasia , Adjacent bone density increased, less or no paravertebral abscess formation. Tuberculosis: the main vertebral and intervertebral disc destruction and the formation of sequestrum, abscess (abscess) and osteoporosis more common. Conclusion: According to CT features and clinical diagnosis, Brucella spondylitis and spinal tuberculosis are not difficult to diagnose