强直性脊柱炎骶髂关节MRI平扫与X线平片、CT对照分析

发布时间：2018-11-27 10:51

【摘要】：目的:探究MRI平扫与X线平 CT检查对早期强直性脊柱炎(AS)骶髂关节病变的诊断情况。方法:回顾性分析广西医科大学第一附属医院临床确诊的23例早期强直性脊柱炎病例的临床和影像资料,3名中高级医生通过对三种影像学图除资料对照分析,探究早期AS骶髂关节改变的特点,运用卡方检验分析三种检查方法对骶髂关节病变检出的临床应用价值。结果:X线平除仅能确诊9例,CT确诊14例,MRI确诊19例患者,23例患者MRI表现均有异常,三种影像学检查方法在诊断早期AS和检出骶髂关节病变分级的差异有显著意义(P㩳0.05)。早期AS的骶髂关节MRI主要表现为关节旁骨髓水肿、滑膜炎和关节软骨破坏等。结:MRI对早期强直性脊柱炎的诊断有明显优势,结合临床资料及实验室检查,可做出早期诊断。
[Abstract]:Objective: to investigate the diagnosis of sacroiliac joint lesions of early ankylosing spondylitis by MRI plain scan and X-ray plain CT. Methods: the clinical and imaging data of 23 cases of early ankylosing spondylitis diagnosed in the first affiliated Hospital of Guangxi Medical University were analyzed retrospectively. To explore the characteristics of sacroiliac joint changes in early AS and to analyze the clinical value of three methods in detecting sacroiliac joint lesions by chi-square test. Results: only 9 cases were diagnosed by X-ray, 14 cases by CT, 19 cases by MRI, and 23 cases by MRI. There were significant differences among the three imaging methods in the diagnosis of early AS and the detection of sacroiliac joint lesions (P0. 05). The main manifestations of sacroiliac joint MRI in early AS were bone marrow edema, synovitis and articular cartilage destruction. Conclusion: MRI has obvious advantages in the diagnosis of early ankylosing spondylitis.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R593.23

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