摘要
目的:探讨强直性脊柱炎(AS)患者骶髂关节和髋关节的CT表现及其诊断价值。方法:回顾性分析40例 经临床诊断及治疗的强直性脊柱炎患者的骶髂关节和髋关节CT资料。结果:骶髂关节和髋关节CT表现均未 见异常者2例;骶髂关节受累,髋关节未受累及17例。骶髂、髋关节改变表现为关节面模糊,骨质疏松,密度不 均匀10例;关节面下囊性变,虫蚀样骨质破坏17例;关节面边缘明显硬化,骨赘形成7例;关节强直,关节间隙 部分或完全消失12例。结论:CT扫描可以清晰显示骶髂关节和髋关节病变的表现,对于强直性脊柱炎的早期 诊断有重要意义。
Objective:To eraluate the CT findings in patients with ankylosing spondylitis (AS)the sacroiliac and hip joints.Methods:The CT manifestations in 40 patients with AS were analyzed retrospectively.Results:CT factures included: normal( n =2);The bilateral sacroiliac joints were involved,yet the bilateral hips joint were not involved (n=17). The CT findings were as follows:(1) Osteoporosis ( n =10);(2) Cystis degeneration under the surface,vermiform destruction of bone ( n =17);(3) subchondral local sclerosis ( n =7);(4) joint ankylosis,narrowing joint space, trabeculae of bone peneetrating joint space and even bony ankylosis ( n =12).Conclusion:CT scan can well display the sacroiliac and hip joints as well as their neighboring structures and it is an important in plement in earlier diagnosis of ankylosing spondylitis.
出处
《中日友好医院学报》
2005年第1期16-18,共3页
Journal of China-Japan Friendship Hospital
