目的分析椎间盘镜术后早期椎间隙感染的X光片、CT、MRI影像特征,评价术后早期椎间隙感染的影像学诊断价值。方法 12例经临床或手术病理证实的术后早期椎间隙感染患者均行术后脊柱X光片、CT、MRI检查。结果 12例患者的X光片均无显著骨质变化;CT可见感染周围组织有异常信号,但边界不清;MRI可见病变椎间盘、相邻椎体及椎旁软组织异常强化,局部脓液积聚,范围清楚。结论 MRI检查对术后椎间隙早期感染具有很高的敏感性和准确性,是目前最佳的影像学检查方法。
Objective To analyze MR imagine features of early infection following microendoscopic B-twin fusion,and evaluate MR image value in the diagnosis of early intervertebral infection after operation.Methods 12 patients with clinically or pathologically proven early postoperative intervertebral infections were underwent the spine X-ray,MRI,and CT exam.Results For the 12 patients,X-ray revealled no significant sclerotin change;CT revealled abnormal signal around infection tissue,but not with clear boundary;MRI revealled clearly abnormal strengthening around affection disc,neighbor vertebra and close vertebral soft tissue,and local effusion and its boundary can be seen clearly too.Conclusion MRI is a technique with high sensitivity and accuracy for diagnosing early intervertebral infection,indicating it as the optimal imaging procedure in the diagnosis of intervertebral infection.