人民卫生出版社系列期刊
ISSN 2096-2738 CN 11-9370/R

中国科技核心期刊(中国科技论文统计源期刊)
2020《中国学术期刊影响因子年报》统计源期刊

新发传染病电子杂志 ›› 2023, Vol. 8 ›› Issue (2): 86-90.doi: 10.19871/j.cnki.xfcrbzz.2023.02.019

• 综述 • 上一篇    下一篇

布氏菌病影像学研究进展

尹松涛1, 李俊林1, 张晓琴1, 丁海涛2, 王占国3   

    1. 1.内蒙古自治区人民医院影像医学科,内蒙古 呼和浩特 010017;
    2. 2.内蒙古自治区人民医院检验科,内蒙古 呼和浩特 010017; 
    3. 3.内蒙古自治区人民医,内蒙古医学科学院布病研究所,内蒙古 呼和浩特 010017
  • 收稿日期:2022-01-21 出版日期:2023-04-30 发布日期:2023-05-19
  • 通讯作者: 王占国,Email:grefor@163.com
  • 基金资助:
    1.内蒙古自治区自然科学基金项目(2017MS(LH)0850); 2.内蒙古自治区人民医院博士科研启动基金(2019BS07)

Progress in imaging research of brucellosis

Yin Songtao1, Li Junlin1, Zhang Xiaoqin1, Ding Haitao2, Wang Zhanguo3   

    1. 1.Department of Imaging Medicine, Inner Mongolia Autonomous Region People's Hospital, Inner Mongolia Hohhot 010017, China;  
    2. 2.Department of clinical laboratory, Inner Mongolia Autonomous Region People's Hospital,Inner Mongolia Hohhot 010017, China; 
    3. 3.Institute of Brucellosis,Inner Mongolia Academy of Medical Sciences,Inner Mongolia Autonomous Region People's Hospital,Inner Mongolia Hohhot 010017, China
  • Received:2022-01-21 Online:2023-04-30 Published:2023-05-19

摘要: 布氏菌病是世界上最常见的人畜共患疾病之一,在全世界范围内广泛流行。最初在地中海马耳他岛被发现,命名为“马耳他热”,后来为了纪念首次分离到布氏菌病原体的英国医生布鲁,统一更名为布氏菌病。布氏菌可侵犯人体全身各个系统,临床表现常无特异性,最常表现为发热、出汗、肌肉疼痛、淋巴结肿大或肝脾大等,因此,对于该病的及时诊治,影像学检查至关重要。B超、胸部X线片、CT、MRI及PET放射性核素显像都有相应的作用。B超是基本检查手段,对心脏、心包感染、肝脾大、体表淋巴结及布氏菌睾丸炎等具有一定诊断价值。胸部X线片简便易行,适于初筛,可观察布氏菌病胸部病变及后期骨关节的变化,但图像重叠,敏感性差。CT发现病变的敏感性高,对全身各系统布氏菌病感染都有重要诊断意义,对神经系统、关节及脊柱的早期病变显示欠佳。PET放射性核素显像可以准确显示病变部位。MRI凭借着多序列、多模态及良好的软组织分辨率被认为是布氏菌病影像诊断的“金标准”。

关键词: 布氏菌病, 布氏菌, 磁共振成像

Abstract: Brucellosis is one of the most common zoonotic diseases in the world and is widespread worldwide. It was originally discovered on the Mediterranean island of Malta and was named "Malta fever".Later, in order to commemorate the British doctor Bruce who first isolated the Brucella pathogen, it was renamed Brucellosis. Brucella can invade all systems of the human body. The clinical manifestations are often non-specific. The most common manifestations are fever, sweating, muscle pain, lymphadenopathy or hepatosplenomegaly. Therefore, imaging examination is very important for the timely diagnosis and treatment of the disease. B-ultrasound, X-ray, CT, MRI and PET radionuclide imaging have corresponding effects. B ultrasound is the basic means of inspection, the heart, pericardium infection, hepatosplenomegaly, body surface lymph nodes and Brucella orchitis has a certain diagnostic value. X-ray is simple and suitable for primary screening. It can observe the chest lesions of Brucella and the changes of bone and joint in the later stage, but the sensitivity is poor due to overlapping images. CT found that the high sensitivity of the lesion, the systemic infection of brucellosis have important diagnostic significance for the nervous system, joints and spine of the early lesions show poor. PET radionuclide imaging can accurately show the lesion site. MRI with multi-sequence, multi-modality and good soft tissue resolution is considered the "gold standard" of brucellosis imaging diagnosis.

Key words: Brucellosis, Brucella, Magnetic resonance imaging

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