CAJ | 학술논문

目的探讨两种脊椎感染性疾病(布氏杆菌性脊椎炎、脊椎结核)临床及影像学特点,以提高对两种脊椎病鉴别认识水平.方法回顾性分析23例布氏杆菌性脊椎炎患者的X线、CT扫描及MRI检查影像学资料,并与已确诊的33例脊椎结核病影像学资料作比较,提高对两种脊椎病的诊断认识水平.结果影像资料中布氏杆菌性脊椎炎病变累及腰椎最多,椎体形态多无明显变化,骨质破坏多在椎体边缘,伴随骨质增生,脓肿范围一般较小,一般不超过病变椎体节段;脊椎结核病灶主要分布于胸腰段,以椎体骨质和椎间盘破坏为主,流注脓肿比较常见且超过病变椎体.结论依据两种脊椎病特征性影像学表现,可提高两种脊椎病的鉴别诊断水平.
목적 탐토량충척추감염성질병(포씨간균성척추염、척추결핵)림상급영상학특점,이제고대량충척추병감별인식수평.방법 회고성분석23례포씨간균성척추염환자적X선、CT소묘급MRI검사영상학자료,병여이학진적33례척추결핵병영상학자료작비교,제고대량충척추병적진단인식수평.결과 영상자료중포씨간균성척추염병변루급요추최다,추체형태다무명현변화,골질파배다재추체변연,반수골질증생,농종범위일반교소,일반불초과병변추체절단;척추결핵병조주요분포우흉요단,이추체골질화추간반파배위주,류주농종비교상견차초과병변추체.결론 의거량충척추병특정성영상학표현,가제고량충척추병적감별진단수평.
Objective To consider enhance level of differential diagnosis between the Brucellosis Spondylitis and the Spine Tuberculosis. Methods 23 cases under went X-ray、CT Scanning and MRI Examination was proved brucellosis spondylitis compared with 33 cases with clinically proved spine tuberculosis. Results The lesions were mainly located in the lumbar vertebra. Bone destruction and osteophyte were detected in the rim of vertebral body. Range of abscess usually did not surpass the segment of affected vertebral body. The lesions were mainly located in the thoracic-lumbar vertebra. Bone destruction was detected in the vertebral disc and the vertebral body. Range of abscess was poured usually and surpasses the segment of affected vertebral body. Conclusion ccording as the Brucellosis Spondylitis and the Spine Tuberculosis has some tomography characteristics, this has significant value in the diagnosis and differential diagnosis.