摘要
目的探究磁共振在强直性脊柱炎早期骶髂关节炎诊断中的价值。方法选取2020年10月—2023年10月新疆医科大学附属中医医院收治的120例疑似强直性脊柱炎患者为研究对象,入院后给予CT、磁共振成像(magnetic resonance imaging,MRI)检查,分析两种检查方案在强直性脊柱炎早期骶髂关节炎不同分级中的诊断符合率差异。并以临床综合诊断结果为金标准,评价CT、MRI检查的诊断效能。结果120例疑似患者经临床综合诊断确诊97例,MRI的检出率80.00%(96/120),高于CT的72.50%(87/120)。MRI的灵敏度、特异度、准确度均高于CT检查,差异有统计学意义(P均<0.05)。在诊断早期骶髂关节炎不同分级中,MRI的诊断符合率为97.94%(95/97),高于CT的83.51%(81/97),差异有统计学意义(P均<0.05)。在诊断早期骶髂关节炎不同分级中,MRI的诊断符合率为97.94%(95/97),高于CT的83.51%(81/97),差异有统计学意义(P<0.05)。结论在强直性脊柱炎早期骶髂关节炎诊断中,相较于CT检查,磁共振的检出率更高,且能较为准确地明确患者的早期骶髂关节炎分级,为后续治疗方案提供影像学依据。
Objective To explore the value of magnetic resonance imaging in the diagnosis of early sacroiliitis in ankylosing spondylitis.Methods A total of 120 patients with suspected ankylosing spondylitis admitted to the Hospital of Traditional Chinese Medicine Affiliated to Xinjiang Medical University from October 2020 to October 2023 were selected as the research objects.After admission,CT and magnetic resonance imaging(MRI)were performed to analyze the coincidence rate of the two examination schemes in different grades of early sacroiliac arthritis in ankylosing spondylitis.The diagnostic efficacy of CT and MRI was evaluated with the results of clinical comprehensive diagnosis as the gold standard.Results 97 cases of 120 suspected patients were diagnosed by clinical comprehensive diagnosis.The detection rate of MRI was 80.00%(96/120),which was higher than 72.50%(87/120)of CT.The sensitivity,specificity and accuracy of MRI were higher than those of CT,and the difference was statistically significant(all P<0.05).In the diagnosis of different grades of early sacroiliac arthritis,the diagnostic coincidence rate of MRI was 97.94%(95/97),which was higher than 83.51%(81/97)of CT,and the difference was statistically significant(P<0.05).Conclusion In the diagnosis of early sacroiliac arthritis in ankylosing spondylitis,compared with CT examination,the detection rate of magnetic resonance imaging is higher,and it can accurately determine the early sacroiliac arthritis classification of patients,and provide imaging basis for subsequent treatment plans.
作者
宋丽俊
周君
栾丽
SONG Lijun;ZHOU Jun;LUAN Li(Department of Imaging Center,Hospital of Traditional Chinese Medicine Affiliated to Xinjiang Medical University,Urumqi 830000,Xinjiang Uygur Autonomous Region,China)
出处
《世界复合医学（中英文）》
2024年第7期175-178,共4页
World Journal of Complex Medicine
关键词
强直性脊柱炎
早期骶髂关节炎
检出率
早期骶髂关节炎分级
Ankylosing spondylitis
Early sacroiliac arthritis
Detection rate
Early classification of sacroiliac arthritis
