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强直性脊柱炎骶髂关节病变的三种影像学表现分析 被引量:4

Three kinds of the image expression about pathological changes of sacroiliac joint relating to ankylosing spondylitis
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摘要 目的:探讨强直性脊柱炎(AS)骶髂关节改变的X线平片、CT及MRI影像特点,以提高其诊断水平。方法:回顾性分析AS患者的骶髂关节69例X线平片、34例CT、16例MRI的表现特点。结果:临床诊断I级AS患者12例,均行X线、CT检查,但X线仅检出3例(25%),CT检出8例(66.7%),其中9例同时行MRI检查,检出7例(77.8%)。16例II级患者,X线检出9例(56.2%),其中11例加行CT检查,3例加行MRI检查,阳性率均为100%。III~IV级AS的X线、CT、MRI均能检出异常征象。结论:X线平片对典型AS能作出较肯定诊断,但对AS的早期诊断不如CT、MRI,而MRI能显示AS某些最早期的改变。 Objective:To discuss the characteristic of image on X-ray,CT and MRI about changes of sacroiliac joint relating to ankylosing spondylitis(AS) and assist the clinical assessment level of pathological changes,so as to raise its diagnosis level. Methods:To retrospectively analyze the characteristic of image expression in 69 cases X-ray,34 cases CT and 16 cases MRI about the sacroiliac joint relating to AS patients. Results:12 cases who suffered from AS were diagnosed as grade I in clinic,all were examined by X-ray and CT,ouly 3 cases could be diagnosed by X-ray(25%),while 8 cases by CT(66.7%),9 cases among 12 were examined by MRI at the same time,7 cases were diagnosed (77,8%). 16 cases were diagnosed as grade Ⅱ ,9 cases were diagnosed by X-ray (56.2%),11 cases among them were examined by CT and 3 cases were examined by MR],the positive rate of them are all 100%. All the AS patients in grades Ⅱ- Ⅳ had the unusual sign in image by X-ray,CT and MR].Conclusion:X-ray can make more definite diagnosis for typical AS,but its early diagnosis is not as good as CT and MRI, however, MR] can show the change of AS in some earliest issues.
作者 梁萍 方华盛
出处 《现代医药卫生》 2008年第17期2546-2548,共3页 Journal of Modern Medicine & Health
关键词 骶髂关节 强直性脊柱炎 X线 X线计算机 磁共振成像 Sacroiliac joint Ankylosing spondylitis X-ray X-ray computer Magnetic resonance imaging
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