金占华 马军 王晶 丁少峰 邵金华

    【摘要】目的：观察在布氏杆菌性脊柱炎疾病的诊断中联合实施CT检查以及MRI检查的临床价值。方法：本次研究从我院2021年1月—2023年6月就诊期间选取40例布氏杆菌性脊柱炎患者， 并且所有患者均实施CT以及MRI检测，此次研究患者的确诊均以病理学检查结果为准，观察CT联合MRI检测的临床诊断价值。结果：MRI和 CT两种检查方法对椎体的骨破坏、椎间隙变化等症状的检出率没有明显的差别(P>0.05)；对于硬化骨形成、骨膜改变等症状的检出率均高于单独实施MRI、CT检查(P<0.05)。MRI与 CT相结合的结果显著高于单独 MRI与 CT相结合的结果(P<0.05)。结论：MRI和 CT是布氏杆菌性脊柱炎最主要的影像学检查手段，两者结合能更加全面和准确地反映疾病的病理特征，从而提高其确诊率，为疾病的治疗提供更加精准的数据支持，是目前临床中非常有价值的诊断方式，值得临床推广。

    【关键词】CT；MRI；布氏杆菌性脊柱炎；诊断价值

    To analyze the diagnostic value of CT combined with MRI in brucella spondylitis

    JIN Zhanhua， MA Jun， WANG Jing， DING Shaofeng， SHAO Jinhua People’s Hospital of Pingluo County， Shizuishan， Ningxia 753400， China

    【Abstract】Objective： To observe the clinical value of combined CT and MRI in the diagnosis of brucellosis spondylitis. Methods： Forty patients with Brucella spondylitis were selected from January 2021 to June 2023， and all patients were examined by CT and MRI. Results： The clinical diagnostic value of CT combined with MRI was observed. There was no significant difference in the detection rate of symptoms such as bone destruction and intervertebral space changes in the vertebral body between MRI and CT (P>0.05)； the detection rate of symptoms such as sclerotic bone formation and periosteal changes was higher than that of MRI and CT (P<0.05). the results of MRI combined with CT were significantly higher than those of MRI combined with CT alone (P< 0.05). Conclusion： MRI and CT are the most important imaging means for Brucella spondylitis ......