布鲁氏菌性骶髂关节炎的临床及MRI表现
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摘要
目的:探讨布鲁氏菌性骶髂关节炎的临床及MRI表现特点。方法 :回顾性分析2014年1月至2017年12月确诊的24例布鲁菌氏性骶髂关节炎的一般资料、实验室检查及MRI资料。结果:24例下肢疼痛较明显,实验室检查淋巴细胞升高较明显;MRI表现病变以髂骨为主,可见关节面模糊、关节间隙狭窄,病灶部位与周围软组织水肿及骨质破坏。结论:骶髂关节病变鉴别困难,需结合临床、实验室检查、MRI表现综合分析,尤其HLA-B27阴性、处于感染发病区者,需警惕早期骶髂关节感染。
引文
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[6] Kursun E,Turunc T,Demiroglu Y,et al. Evaluation of four hundred and forty seven brucellosis case[J]. Inter Med,2013,52:745-750.
[7] Tali ET. Spinal infections[J]. Eur J Radiol,2004,50:120-133.
[8] Hadadi A,Rasoulinejad M,HajiAbdolbaghi M,et al. Clinical profile and management of brucellosis in T-ehran-Iran[J]. Acta Clinica Belgica,2009,64:11-15.
[9]李社军,霍建峰,杨立文,等.血清C反应蛋白、细胞沉降率与降钙素原在布氏杆菌脊柱炎患者中的应用价值[J].医疗装备,2016,29(7):126-127.
[10] Ghozlan R,Boissy M,Caruel N. Epidurite lombaire revelatriced,unespondylodiscite melitococcique[J]. ReRhum Mal Osteoartic,1981,48:60-63.
[11]李景学,孙鼎元.骨关节X线诊断学[M].北京:人民卫生出版社,1996:243.
[12] Smidt GL,Mcquade K,Wei SH,et al. Sacroiliac kinematics for reciprocal straddle positions[J]. Spine,1995,20:1047-1054.
[13] Cassidy JD. The pathoanatomy and clinical significance of the sacroiliac joints[J]. J Manipulative Physiol Ther,1992,15:41-42.
[14] Hermet M,Minichiello E,Flipo RM,et al. Infectious sacroiliitis:a retrospective,multicentre study of 39 adults[J]. BMC Infect Dis,2012,12:305.
[2]赵征,王炎焱,金京玉,等. 34例骶髂关节异常误诊为脊柱关节炎的磁共振成像分析[J].中华内科杂志,2014,53(9):724-729.
[3] Zamani A,Kooraki S,Mohazab RA,et al. Epidemiological and clinical features of Brucella arthritis in 24 children[J]. Ann Saudi Med,2011,31:270-273.
[4] Dayan L,Deyev S,Palma L,et al. Long-standing,neglected sacroiliitis with remarked sacroiliac degenerative changes as a result of Brucella spp. infection[J]. Spine J,2009,9:e1-e4.
[5] Turan H,Serefhanoglu K,Karadeli E,et al. Osteoarticular involvement among 202 brucellosis cases identified in Central Anatolia region of Turkey[J]. Intern Med,2011,50:421-428.
[6] Kursun E,Turunc T,Demiroglu Y,et al. Evaluation of four hundred and forty seven brucellosis case[J]. Inter Med,2013,52:745-750.
[7] Tali ET. Spinal infections[J]. Eur J Radiol,2004,50:120-133.
[8] Hadadi A,Rasoulinejad M,HajiAbdolbaghi M,et al. Clinical profile and management of brucellosis in T-ehran-Iran[J]. Acta Clinica Belgica,2009,64:11-15.
[9]李社军,霍建峰,杨立文,等.血清C反应蛋白、细胞沉降率与降钙素原在布氏杆菌脊柱炎患者中的应用价值[J].医疗装备,2016,29(7):126-127.
[10] Ghozlan R,Boissy M,Caruel N. Epidurite lombaire revelatriced,unespondylodiscite melitococcique[J]. ReRhum Mal Osteoartic,1981,48:60-63.
[11]李景学,孙鼎元.骨关节X线诊断学[M].北京:人民卫生出版社,1996:243.
[12] Smidt GL,Mcquade K,Wei SH,et al. Sacroiliac kinematics for reciprocal straddle positions[J]. Spine,1995,20:1047-1054.
[13] Cassidy JD. The pathoanatomy and clinical significance of the sacroiliac joints[J]. J Manipulative Physiol Ther,1992,15:41-42.
[14] Hermet M,Minichiello E,Flipo RM,et al. Infectious sacroiliitis:a retrospective,multicentre study of 39 adults[J]. BMC Infect Dis,2012,12:305.