Cov ntsiab lus ntawm cov yam ntxwv ntawm kev kis tus ntsuj plig

Cov kws lij choj kab mob plaub hau rau 2% rau 7% ntawm txhua tus kab mob musculoskeletal tshwm sim los ntawm cov kab mob, fungi, thiab, ntau dua li cov cab. Kwv yees li ib nrab ntawm cov kab mob txha caj qaum muaj kab mob nqaj, ib nyuag ntau dua li ib feem peb hauv cov nqaj qaum, thiab cov khoom seem hauv lub ncauj tsev me ncauj.

Purulent muaj mob

Purulent spy licitis (ps) feem ntau yog tshwm sim los ntawm kev hematogenously ceeb, thiab xaim hluav taws xob tsis txaus thiab rhiab nyob rau hauv thaum ntxov ntawm tus kab mob. Kev txhim kho MRI yog txoj kev xaiv rau kev paub thaum ntxov ntawm tus txha caj qaum; MRI ua rau pom cov pob txha caj npab thiab txhim kho cov nqaij pob txha caj dab, thiab / lossis / lossis / lossis / lossis / lossis / lossis / lossis / lossis / los yog ib puag ncig kev tsim cov nqaij mos.

NCO TSEG: (A) Forcing Lumbar Spine Coadcacn qhia L4 -L3 disc qhov siab poob thiab kev puas tsuaj ntawm lub sab saud ntawm L4 (xub). 

(b) daim ntawv tshaj tawm me me ntawm L3. Kev puas tsuaj ntawm L3 - L4 disc nrog kev hloov pauv ntawm kev xav hloov mus rau qhov chaw seem (xub). 

(c) Kev sib xyaw ua ke (Mr) cov duab sib nqus (Mr. Kev siv cov nqaij mos prerbertigral yog cim edematous thiab muaj kev hloov pauv hloov. 

(d) SAGittal T1 tom qab txhaj tshuaj sib cuam tshuam pom pom cov teeb liab txhim kho hauv hlwb pob txha (lub cim nyiaj txiag), txhim kho cov teeb liab hauv cov kab mob epidastebral. Nco ntsoov qhov indentation ntawm central canal (xub).

Cov Deberculosis

Tuberculosis ntawm tus nqaj qaum (TS), feem ntau tsis-purulent txha caj qaum, thiab cov yam ntxwv uas sib txawv uas muaj nyob hauv qab no:

Cov lus qhia txog cov pob txha dub qhia tau, txo cov nqaij mos tsis zoo thiab tsis muaj calcification ntawm cov ntaub so ntswg mos.

Ntawm MRI, lub T1 cov teeb liab ib txwm muaj thiab cov cim kev sib txawv ntawm lub cev anterigenties thiab tej zaum yuav txuas mus rau lwm cov av av, feem ntau tsis muaj kev cuam tshuam nrog lub disc.

Sau ntawv: 65-xyoo-laus txiv neej nrog (a) axial thiab (lub lumbar abscesses (asterisks) nrog sepreal thiab phab ntsa ua). Tsaus muag kev sib tshuam nrog tsis muaj kev txhim kho tseem ceeb. Dural Soc Compression (Dawb xub). (ct rov tsim kho duab ntawm L3 rau S1 vertebral lub cev rhuav tshem.

Tus mob brucella

Brucellosis yog kev lom zem thoob ntiaj teb los ntawm gram-tsis zoo bacillus. Nws feem ntau cuam tshuam nrog tus txha nraub qaum, tshwj xeeb yog L4.

Tus kab mob pib nyob rau hauv lub anterior feem ntawm vertebral lub cev ntawm lub discval thiab tej zaum yuav ua rau cov pob qij txha me me. Paravertebral Abscesses tshwm sim tsawg dua thiab yog me dua nyob rau hauv loj tshaj ts. Lub pob txha caj qaum anatomy tseem nyob hauv.

NCO TSEG: Brucella Bumbellum kab mob, ua yeeb yam sclerosis, thiab tsim ntawm bony bony ntawm lub cev pob txha caj dab ntawm lub cev vertebal ntawm lub cev vertebal.

Kab mob fungal

Cov kab mob siab fungal (FS) yog tsawg thiab feem ntau pom hauv cov neeg mob immunosuppressed cov neeg mob. Ntau yam fungi muaj peev xwm koom tes nrog, suav nrog pseudomonas, aspergillus, bacillus, thiab cocidioids. Lub vev xaib thoracic yog cov chaw tshaj plaws, thiab zoo sib xws rau TS, kev sib kis tau pib hauv lub pob txha caj qaum ntawm cov vertebrae thiab tuaj yeem kis tau rau cov pob txha caj qaum.

Nco tseg: CT scan Sagittal duab ntawm tus neeg mob nrog coccidioOloidomycosis. Txwv tsis pub bony lesions tsis muaj sclerotic margins yog cov kab mob no hauv kev nthuav qhia. Kev rhuav tshem ntawm T1 ua rau caj qaum chaw. Txawm hais tias muaj ntau qhov chaw ntxeem tau, C7-T1 intervertal qhov chaw, muaj lub cim Toccidiocomycosite (txoj cai T2 teeb meem ntawm kev koom tes ntawm C6-C7 Discs. Tus bony lesion txuas ntxiv rau hauv subcortical pob txha anterior rau lub cev txha caj qaum, ua rau muaj kev kis tus kab mob antterior IV. Cov kev sib kis tau hloov mus rau ntau theem, qhia tau yooj yim hom kev tshaj tawm hom kev tshaj lij

Annylosing Spondylitis

Annylosing spondylitis (li) yog tus kab mob aurogrammunity uas feem ntau cuam tshuam rau tus txha nqaj qaum thiab tuaj yeem ua rau mob nqaj qaum los ntawm tus txha caj qaum.

Lwm qhov kev ua tsis tau zoo hauv cov neeg mob uas yog qhov kev loj hlob ntawm kab mob discidy, thiab ntawm cov kev ntsuas ntawm qhov tsis xws luag ib puag ncig, thiab cov chaw ntawm cov sclerosis nyob ib puag ncig osteolytic tsis xws luag.

Nco tseg: tus neeg mob nrog Ankylosing spondylitis, 44-xyoo-laus txiv neej nrog mob huam rov qab mob nraub qaum thiab txwv feem ntau ntawm cov lus tsa suab. Sagittal CT ntawm (a) thoracic thiab (b) lumbar spine pob txha qhov rai pom diffentior Tseem muaj kev cuam tshuam thiab kev ywj pheej ntawm lub lumbar interspinous ligaments (sub pom). (c) Coronal Duab ntawm Lumbar Ciav qaum

Osteomyelitis syndrome

Cov ntawv no yog hais txog kev sib xyaw ua ke ntawm cov pob qij txha (osteomalacia, thiab stornooracia, thiab storhodalacia), thiab storhodalacia, thiab storhodalacia, thiab storhodalacia, thiab storhodalacia, thiab storhodalacia, thiab storhodalacia, thiab storhodalacia), thiab storhodalacia, thiab storhodalacia, thiab storhodalacia, thiab storhodalacia), thiab storhodalacia, thiab storhodalacia), thiab storhodalacia, thiab storhodalacia, thiab storhodalacia, thiab storhodalacia, thiab storhodalacia), thiab storhodalacia, thiab storhodalacia, thiab storhodalacia), thiab storhodalacia, thiab storhodalacia, thiab sternocal pob qij txha) yog qhov feem ntau koom nrog, ua raws li cov lumbar thiab cervical Spine.Qhov kev nthuav dav feem ntau ntawm cov duab vertebraphs yog cov kev ua yeeb yam zoo tshaj plaws thiab tsis muaj kev sib tsoo ntawm cov kab mob MRI yog qhov sib npaug ntawm cov kab mob MRI yog qhov sib npaug ntawm cov kab mob MRI yog qhov sib npaug ntawm cov kab mob MRI yog qhov kev sib tsoo ntawm cov khoom siv tsis sib xws thiab cov kab mob junctions ntawm lub intervertebral discs lossis anterior endplates, thiab muag ntaub hniav edema.

Nco tseg: 62-xyoo-laus txiv neej nrog sapho syndrome. (a) Sagittal T2-hnyav thiab (b) sib sau Tomhography Kev ua yeeb yam ntawm kev ua tsis ncaj ncees) tsis muaj kev txawv txav ntawm lub disc lossis kua txhuas. L1 tau reprotly repositioned tom qab lub qub compression bacture. (c) axial ct qhia Anthylosis ntawm txoj cai nqa tus nqi sib koom ua ke (lub cim npe). (d) Oblique CTONAL CT kev tsim kho kom pom tseeb Bilateral Ribcic Ribcage Clavice Anthylosis (Asterisks). (e) pob txha scan qhia radiotracer uptake hauv ob qho tib si sib koom ua ke (dawb asterisks).

Lim ntshav ntawm spondyloarnopathy

Lim ntshav spondyllophaty (DRS) yog kev hloov pauv ntawm cov neeg mob ntawm cov neeg mob ntawm lub sijhawm Hemodialysi ntev. Nws yog feem ntau ntawm cov kab ncauj tsev ncauj tsev menyuam thiab feem ntau nthuav tawm ntawm qhov chaw sib tshuam, kev rhuav tshem cov pob txha sib tshuam, cov kab mob paraspinal / abscesses, thiab ntxiv dag zog rau ntawm qhov chaw.

Nco tseg: cov osteoporosis ntau ntawm lub lumbar thiab sacral pelvis. Kev puas tsuaj ntawm tus anterosuperior cov npoo ntawm lub lumbar 5 vertebrae nrog sclerotic hyperplasia ntawm cov npoo (qhia los ntawm tus liab xub). Uas nyob ib sab txav kev hyperplasia. Kev puas tsuaj ntawm sab laug sab saclicoiliac sib koom ua ke nrog kev rhuav tshem ntawm cov pob txha tom qab ntawm ilium, thiab thaj chaw hauv zos zoo li cov ntaub so ntswg (qhia los ntawm cov xib xub xiav).

Nco tseg: Txhim Kho Mr: Lumbar 4/5 Disc Tsoo nrog vertebral Rim epertrophy ntawm tus txha caj qaum, thiab compression ntawm anterior ntug ntawm lub dural set. Lub lumbar 5 vertebal lub cev yog txwv tsis pub concave thiab tuaj yeem pom raws li cov hlab ntshav ntawm ntev t1 thiab t2 wi compression teeb liab, thiab txhim kho tau tom qab ua tiav. Ntau thaj tsam ntawm lub teeb liab txawv txav tau pom nyob rau hauv Lumbar ntawm Lumbar 5 thiab lub teeb liab qis ntawm T2wi thiab zoo me ntsis tau pom ntawm cov kev ntsuas hloov kho (liab xib xub). Mos cov nqaij tuab ntawm lub caj qaum ntawm cov pob txha caj qaum ntawm cov pob txha caj qaum tau pom, thiab kev txhim kho tau pom ntawm kev hloov kho scan (XIAV XEEM). Cov pob txha uas muaj pob txha ntawm lub ilium, lub duav, lub taub hau pelvic yog ib txwm muaj, nrog cov leeg sib txawv thiab cov cim sib koom tes, tsis muaj cov cim qhia thiab nqaim.

Tus txha caj qaum

Ntshaw cov pob txha caj qaum yog cov cim los ntawm kev tso nyiaj ntawm monocrystalline tso zis (mucs) hauv txha nraub qaum. Ntshoo gout feem ntau yog cuam tshuam rau tus txha nraub qaum. Cov lus qhia txog Nonspecems Qhia thiab CT tus cwj pwm zoo dua pob txha yaig nrog sclerotic liab. MRI Entifestations yog nonspecific.

NCO TSEG: CT lub tiaj Scan qhia cov chaw sib luag thiab ob qho kev sib tsoo sib luag. Artthrocentesis yuav tsum muaj kom paub meej tias kev kuaj mob.

Neurospondylitis

Neurogenic spondylitis (NS), muaj kev puas tsuaj arthropathy, tshwm sim tom qab poob ntawm kev hnov ​​thiab kev cuam tshuam. Qhov ua rau muaj feem ntau yog kev raug mob txha caj qaum raug mob, uas cov account rau 70% ntawm cov neeg mob. Lwm qhov ua rau muaj mob ntshav qab zib mellitus, tus txha caj qaum tub rog, thiab lwm yam kev tsis txaus siab, thiab lwm yam kev txom nyem neurologic xws li peroneal-Barré Syndrome. Vim yog lub luag haujlwm ntawm lub luag haujlwm thoracolumbar thiab lumbosacal junctions, lawv yog cov chaw muaj kev koom tes ntau tshaj plaws.

Kev ua kom zoo ntawm NS yog pob txha tawg, sib tshooj thiab cov khoom sib koom tes me me ntxiv rau hauv pob txha ceev, thiab kuj tseem nqaij mos nqaij loj.

Nco tseg: 58-xyoo-laus txiv neej nrog tus txha nqaj qaum neurine. (a) SAGittal thiab (b) Coronal suav tom Coriagor Reptractructions ntau lub lumbar vertebral topection yaig (xub) nrog pob txha tawg. Kev puas tsuaj ntawm L2-L3 intervertebral disc nrog widening ntawm qhov chaw sib tshuam (asterisk). (c) SAGittal thiab (D) Axial T2-hnyav kev rov qab ua ntu zus ua ntu zus pom ntawm L2-L3 kev cuam tshuam qhov chaw. Cov kev hloov tseem ceeb ntawm cov txha caj qaum cuam tshuam rau L2-L3-L4. Kuj tseem muaj nyiaj effuses nyob rau hauv cov ntaub so ntswg mos sab tom qab thiab anterior rau cov txheej txheem spotous (asterisks).