强直性脊柱炎的X线_CT_MRI诊断价值_杨小立.pdfVIP

Chinese Journal ofPainMedicine 2005, 11, (3) 147 X、CT、MRI 1 2 3 1 1 杨小立 　刘　淼 　强永乾 　王锁良 　申晓东 1 2 3 ( , ;;, 710061) 　目的:探讨强直性脊柱炎 X线、CT、MRI表现及其诊断价值。方法:对 50例诊断为强直性脊 柱炎的影像学资料进行 回顾性分析和总结。结果:50例均行X 线检查, 平片发现Ⅲ级以上的骶 髂关节改变, 主要表现为关节面破坏、间隙狭窄和关节强直, 其中43例行 CT检查发现Ⅲ级以下骶 髂关节的改变, 15例MRI检查显示关节腔、关节软骨、骨髓信号及关节囊等改变。结论:强直性脊 柱炎具有特征性的影像学表现, 三种检查方法各有优势,影像学检查仍以X 线平片为首选方法, 若 诊断有困难或需要与其他疾病鉴别时则考虑有选择性地应用 CT或MRI检查。 　强直性脊柱炎;影像学诊断 THE IM AG ING STUDY ON ANKYLO SING SPONDYL ITIS YANG Xiao-L,i LIU M iao, QIANG Yong-Qian, WANG Suo-Liang, SHEN Xiao-ong ( epartment ofPain, FirstHospitalofXian Jiaotong University, Xian 710061) Ab stract　Objective:To study the mi aging features ofAnkylosing Spondylitis(AS). Methods:50 cases ofAS mi aging datawere analyzed and reviewed retrospectively. Results:Fifty cases receivedX-ray exam- ination and the plain films could detectmore than Ⅲ grade abnormal signs. The typicalX-ray appea-r anceswere bilateralsacroiliac joint sclerosis, erosion and cystic change, joint spacenarrow or partialand completebony ankylosis. Forty-three caseswithCT scanning showed changes less than Ⅲ grade abnormal changes. Fifteen cases exam ined byMRIm anifested changes in the articular cavity, articular cys,t cart-i lage and marrow beside joint. Conclusions:AS has typital imaging features, and three mi aging exam ina- tionmethods have their respective advantages for diagnosing AS. The X-ray is the prmi ary method;CT andMRIwould be alternativeswhenAS can notbe diagnosed by X-rays or identification diagnosis isnee- ded. K ey w ord s　Ankylosing Spondylitis;Im aging diagnosis 　　(Ankylosing Spondylitis, AS) 4. 5。,、、、 、 , 6,。 ,, 、, 。、HLA- 。