摘要
目的探讨评价CT和MRI在强直性脊柱炎骶髂关节病变中的诊断效果和价值。方法对我院2016年2月至2016年12月收治的68例强直性脊柱炎患者的临床资料展开回顾性调查与分析,所有患者均接受CT及MRI检查,对比两种方法对强制性脊柱炎骶髂关节病变分级及检出率。结果 CT早期病变检出率为39.71%(27/68),与MRI的51.47%(35/68),差异显著(χ2=3.924,P=0.036)。CT对关节面侵蚀、关节软骨肿胀和关节下骨质囊变的检出率均明显低于MRI(P<0.05)。结论在强直性脊柱炎骶髂关节病变诊断中CT和MRI均有一定的价值,但是MRI对早期病变的检出率更高,对各种病变的诊断价值也更高,因而临床应用价值更理想,推荐使用。
Objective To explore the diagnosis effect and value of CT and MRI in sacroiliac joint lesions in ankylosing spondylitis. Methods The clinical data of 68 patients with ankylosing spondylitis treated from February 2016 to December2016 were retrospectively investigated and analyzed, all patients received CT and MRI, the classfication and detection rate of sacroiliac joint lesions in ankylosing spondylitis were compared. Results The early lesions detection rate of CT was39.71%（27/68）, which was significantly different from MRI（51.47%, 35/68）（χ2=3.924, P=0.036）. The detection rate of articular surface erosion, articular cartilage swelling and joint bone mass loss with CT were significantly lower than those of the MRI（P 0.05）. Conclusion CT and MRI are valuable in the diagnosis of sacroiliac joint lesions in ankylosing spondylitis; however, MRI has higher detection rate for early lesions, and the diagnosis of other lesions are also more valuable; therefore, it has better clinical application value and is recommended for use.
出处
《临床医学研究与实践》
2018年第4期149-150,共2页
Clinical Research and Practice
