We evaluated the patient in the early,advanced or healing phase of the disease by MRI in the treatment of chronic brucellosis spondylitis and to guide the clinical treatment.MRI images of 40 patients with clinically diagnosed chronic brucellosis spondylitis were analyzed retrospectively.The imaging findings of early,advanced and healing patients were summarized.MRI showed abnormal signals in the vertebral body,intervertebral disc,paraspinaI and psoas muscle.It is early stage if the intervertebral space was normal,and advanced stage if combined with interverbral space stenosis.It demonstrated short T1 and short T2 signal or similar to the normal vertebral body,combined with intervertebral space stenosis,for the healing stage.According to the specific imaging manifestations of chronic brucellar spondylitis in the course of disease development,it is possible to evaluate the clinical stage of the disease and guide the rational selection of clinical treatment.%目的 通过MRI影像学表现,评价慢性布氏菌性脊柱炎患者处于病程的早期、进展期、愈合期,指导临床对该病治疗手段的选择以及治疗效果的评价.方法 回顾性分析40例经临床确诊慢性布氏菌性脊柱炎患者的MRI影像资料,对处早期、进展期、愈合期患者的影像学征象进行总结、分析.结果 MRI显示椎体、椎间盘、椎旁及腰大肌内的异常信号时,椎间隙正常,为病变早期;在病变早期的基础上合并椎间隙狭窄,则为病变进展期;椎体信号为T1短T2信号或椎体信号与正常椎体一至,并椎间隙狭窄,为病变的愈合期.结论 根据慢性布氏菌性脊柱炎在病程发展中的特异性影像学表现,可对慢性布氏菌性脊柱炎进行分期评估,指导临床选择合理的治疗手段.
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