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椎间盘炎的诊断性影像学检查

Diagnostic Imaging of Discospondylitis.

作者信息

Ruoff Catherine M, Kerwin Sharon C, Taylor Amanda R

机构信息

Department of Large Animal Clinical Sciences, College of Veterinary Medicine & Biomedical Sciences, Texas A&M University, College Station, TX 77843-4475, USA.

Department of Small Animal Clinical Sciences, College of Veterinary Medicine & Biomedical Sciences, Texas A&M University, College Station, TX 77843-4474, USA.

出版信息

Vet Clin North Am Small Anim Pract. 2018 Jan;48(1):85-94. doi: 10.1016/j.cvsm.2017.08.007. Epub 2017 Sep 28.

DOI:10.1016/j.cvsm.2017.08.007
PMID:28964545
Abstract

Discospondylitis can affect dogs of any age and breed and may be seen in cats. Although radiography remains the gold standard, advanced imaging, such as CT and MRI, has benefits and likely allows earlier diagnosis and identification of concurrent disease. Because discospondylitis may affect multiple disk spaces, imaging of the entire spine should be considered. There is a lengthening list of causative etiologic agents, and successful treatment hinges on correct identification. Image-guided biopsy should be considered in addition to blood and urine cultures and Brucella canis screening and as an alternative to surgical biopsy in some cases.

摘要

椎间盘炎可影响任何年龄和品种的犬类,猫也可能出现。尽管X线摄影仍是金标准,但先进的成像技术,如CT和MRI,有其优势,可能有助于早期诊断和并发疾病的识别。由于椎间盘炎可能影响多个椎间盘间隙,应考虑对整个脊柱进行成像。致病病原体的种类越来越多,成功的治疗取决于正确的识别。除了血液和尿液培养以及犬布鲁氏菌筛查外,还应考虑图像引导下的活检,在某些情况下可作为手术活检的替代方法。

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