放射影像学检查在早期强直性脊柱炎骶髂关节病变的应用分析

Application of radiographic examination in sacroiliac joint lesions of early ankylosing spondylitis

目的:分析放射影像学检查在早期强直性脊柱炎骶髂关节病变的应用效果。方法:2016年1月-2019年6月收治早期强直性脊柱炎骶髂关节病变患者56例,分别进行CT、放射线、MRI检查,并对检查结果进行统计分析。结果:MRI对关节软骨肿胀、关节间隙变窄、关节面骨质囊变的检出效果显著高于CT检查和放射线检查,MRI检查的诊断敏感度、特异度、准确率均显著高于CT检查和放射线检查,差异均有统计学意义(P<0.05)。结论:在早期强直性脊柱炎骶髂关节病变诊断中,影像学检查作为重要的检查方法,不同放射影像学的检查优势存在明显差异,MRI检查效果最显著,可将其作为首选诊断方案。

Objective:To analyze the effect of radiographic examination in sacroiliac joint lesions in early ankylosing spondylitis.Methods:From January 2016 to June 2019,56 patients with sacroiliac joint lesions in early ankylosing spondylitis were selected,they were examined by CT,radiation and MRI,and the results were statistically analyzed.Results:The detection effect of MRI in articular cartilage swelling,narrowing of articular space and bone cystic degeneration of articular surface was significantly higher than that of CT and radiation examination.The diagnostic sensitivity,specificity and accuracy of MRI examination were significantly higher than those of CT and radiation examination,the differences were statistically significant(P<0.05).Conclusion:As an important examination method,imaging examination is an important method in the diagnosis of sacroiliac joint lesions in early ankylosing spondylitis,and there are significant differences in the advantages of different radiography.MRI is the most effective and can be used as the first choice for the diagnosis of ankylosing spondylitis.