摘要
目的：提高对腰椎间隙感染的诊断和治疗水平。方法：对１８例腰椎间隙感染进行临床和影像学分析。结果：Ｘ线、断层和ＣＴ扫描显示椎间隙峡窄、骨质破坏、骨质增生和硬化。ＭＲＩ示病变椎体Ｔ１呈低信号；ＧＤＴＰ增强扫描呈高信号。ＥＳＲ和Ｃ－ＲＰ均升高。结论：ＭＲＩ能够清楚的显示病灶，有助于腰椎炎症、肿瘤和退行性改变鉴别。血沉、ＣＲＰ可作为预示感染和观察疗效的指标。早期大剂量抗菌素素治疗是必要的。经皮核髓摘术有助于诊断和治疗。
Objective:In order to improve the diagnosis and treatment for intervertebral discitis.Methods:The clinical characteristic, MRI, CT scan, ECT and Xray film of the eighteen cases of intervertebral discitis of lumber spine be analyzed. Results:The main features of Xray plain film, tomogram and CT scan were presented as: Narrowed intervertebral space, bone damage of vertebral body, proliferation and sclerosis. Persistent abdominal distention was the early and important sign of secondary discitis. MRI shows the T1weighted decreased signal and GDTP enhanced shows a increased signal in the body of discitis. ESR and CRP were higher in all of the cases.Conclusion:1. MRI is very useful in the differential diagnosis with tumor, TB, and degenerative of the lumbar intervertebral space. 2. CRP and ESR play a very important roles in calculate the effect of treatment. 3. It is necessary for treatment to use large dose of antibacterial medicine in the early stage. 4. Percutaneous procedure is very useful to diagnosis and treatment. 5. When half of the vertebral body was involved or there were signs of compression of the nerve roots, surgical and decompression were indicated.
出处
《军医进修学院学报》
CAS
1998年第2期126-128,共3页
Academic Journal of Pla Postgraduate Medical School
