对比分析X线、CT和MRI在早期强直性脊柱炎骶髂关节病变诊断中的应用价值.docVIP

精品论文 参考文献 对比分析X线、CT和MRI在早期强直性脊柱炎骶髂关节病变诊断中的应用价值 长沙市中医医院放射科 湖南长沙 410002 【摘 要】目的：对比分析X线、CT和MRI在早期强直性脊柱炎骶髂关节病变诊断中的应用价值。方法：选取我院收治的90例早期强直性脊柱炎骶髂关节病变患者作为研究对象，将其按照不同检查方法平均分为X线组、CT组和MRI组各30例，对比三组患者的检查结果。结果：早期强直性脊柱炎骶髂关节病变的影像学表现主要为关节面侵蚀、关节面下骨质囊变、关节软骨肿胀等，对这三种影像学表现的检出率中，MRI组与CT组均明显高于X线组，对比差异显著，有统计学意义（Plt;0.05）；X线平片分级为0~1级的早期强直性脊柱炎骶髂关节病变中，MRI组与CT组比X线组能做出跟高级别的分级，对比差异显著，有统计学意义（Plt;0.05）。结论：在早期强直性脊柱炎骶髂关节病变的诊断中，MRI与CT检查的应用价值高于X线检查。 【关键词】X线；CT；MRI；强直性脊柱炎；骶髂关节病变 [Abstract]Objective：To compare the diagnostic value of X-ray，CT and MRI in the diagnosis of early ankylosing spondylitis.Methods：select our hospital 90 cases of early ankylosis spondylitis sacral iliac joint lesions patients as the research object，the different examination methods in accordance with the average for the X-ray，CT and MRI group，30 cases in each，compared three groups of patients with test results.Results：imaging manifestations of early ankylosing spondylitis sacroiliac joint lesions mainly articular surface erosion，articular bone cystic degeneration，swelling of articular cartilage and，of these three kinds of image study performance of detection rate，CT and MRI group were significantly higher than those of the X-ray group.Significant differences，was statistically significant（P lt; 0.05）；X-ray grading 0-1 early ankylosis spondylitis sacroiliac joint lesions，MRI group and CT group than the X-ray group can make with high level of classification，and significant differences，was statistically significant（P lt; 0.05）.Conclusion：the value of MRI and CT in the diagnosis of early ankylosing spondylitis is higher than that of X-ray examination. [Key words]x ray；CT；MRI；ankylosing spondylitis；lesion of the joint of the joint of the joint of the joint 强直性脊柱炎（ankylosing spondylitis，AS）以炎症性骶髂关节病变为主要特征，随着病情的不断恶化，90%以上的患者会出现骶髂关节炎[1]。因此，骶髂关节炎被一致认为是诊断强直性脊柱炎的主要依据。在强直性脊柱炎的治疗上，至今仍无特异性方法，病情发展至晚期，出现脊柱僵直、关节强直等现象的可能性发生高[2]。所以说，早期及时的诊断与治疗对延缓病情恶化有较大意义。现对我院于2013年1月至2015年12月期间收治的90例早期强直性脊柱炎骶髂关节病变患者的临床资料进行回顾性研究，对比分析X线、CT和MRI检查的结果与病