强直性脊柱炎骶髂关节病变CT分级病程的相关性

Ankylosing Spondylitis Sacroiliac Joint CT Grading of Correlation with the Course

目的探讨强直性脊柱炎患者骶髂关节病变CT分级与病变程度和病程的相关性。方法强直性脊柱炎患者90例,行骶髂关节CT检查、检测CRP及ESR,并分析其与病程之间的相关性。应用SPSS18.0软件,分级与病程进行直线相关分析,得出相关系数并对其进行t检验;C反应蛋白级血沉与病程之间的关系采用Spearman相关分析。结果Ⅰ级20例,占22.2%,Ⅱ级27例,占30%,Ⅲ级35例,占38.9%,Ⅳ级8例,占8.9%。骶髂关节的病变程度与病程呈直线相关,P<0.05,有显著性差异。不同级别的CRP和ESR与病程无明显相关。结论强直性脊柱炎骶髂关节病变CT分级与病程间呈直线相关,病程越长病变程度越重;CRP和ESR与病程无明显相关。

Objective To investigate the sacroiliac joint of ankylosing spondylitis patients lesions in the correlation of CT classification and the degree of the lesion, and duration. Methods 90 cases of ankylosing spondylitis patients and sacroiliac joint CT examination, testing the ESR and CRP, and analyzed with the correlation between the course of the disease. Using SPSS18.0 software. Through the linear correlation analysis, the classification and the course of the disease in the correlation coefficient and t test; C-reactive protein level of the relationship between blood sedimentation and course adopts Spearman correlation analysis. Results Ⅰ level 20 cases, accounting for 22.2%, Ⅱ level 27 cases, accounted for 30%, Ⅲ level 35 cases, accounted for 3g.9%, IV level 8 cases, accounting for 8.9%. Degree of sacroiliac joint lesions associated with the course in a straight line, P 〈 0.05, there is significant difference. Different levels of the ESR and CRP is associated with course has no obvious. Conclusion Ankylosing spondylitis sacroiliac joint lesions CT classi- fication, associated with the course in a straight line between the heavier the longer the course of the disease degree; The ESR and CRP is associated with course has no obvious.