Objective: To observe the diagnostic value of magnetic resonance imaging in brucella spondylitis(BS) and the effectiveness of Mongolian medicine treatment. Methods: Fifty patients with acute BS were treated as the research object, and all of them were treated with Mongolian medicine. Magnetic resonance scanning was performed before and after treatment to analyze the imaging characteristics of spinal lesions and surrounding tissues. Results: After Brucella infection of psoas major, magnetic resonance imaging showed low signal and high signal on T1WI and T2WI; the results of paravertebral soft tissue imaging showed low signal and high signal on T1WI and T2WI. The boundary between the lesion tissue and its adjacent normal tissue was not clear. Paravertebral abscess and epidural abscess generally appeared in the affected vertebral tissue, and the abscess wall of the patient showed equal signal on T1WI and high signal on T2WI on magnetic resonance imaging. T1WI and T2WI in the abscess cavity showed low signal and high signal, respectively. After treatment with Mongolian medicine, the range of early spinal and surrounding soft tissue lesions was reduced. Conclusion: In the diagnosis of patients with BS, magnetic resonance imaging can not only grasp the shape of the diseased vertebral body, infection and lumbar involvement, but also clarify the range of paravertebral abscess and epidural abscess, laying a foundation for the later treatment of the disease.
DAI Jin
,
PAN Xichun
. The diagnosis value of magnetic resonance imaging in brucellosis spondylitis and the evaluation of the efficacy of Mongolian medicine treatment[J]. Journal of Baotou Medical College, 2025
, 41(5)
: 63
-67
.
DOI: 10.16833/j.cnki.jbmc.2025.05.012
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