致密性髂骨炎MRI分型及临床意义  

MRI classification and clinical significance of osteitis condensans ilii

作　　者：杨先文[1] 陈润祺[2] 冼青霞[3] 任常华[3] 于成福[3] 

机构地区：[1]武警广东省总队医院综合科,广州510507 [2]南方医科大学中医药学院,广东广州510000 [3]南方医科大学中西医结合医院影像中心

出　　处：《颈腰痛杂志》2012年第6期460-463,共4页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的研究致密性髂骨炎的MRI分型对临床诊断、治疗评价的指导意义。方法分别对23例腰骶部疼痛及17例无腰骶部疼痛的X线表现为致密性髂骨炎的患者进行MRI检查及分析,并将6例腰骶部疼痛的患者在治疗前、后的MRI检查结果进行对比。结果无症状的致密性髂骨炎患者MRI表现为骶髂关节髂骨面下边界清楚的骨硬化异常信号影;有症状患者的MRI表现为骨硬化病灶周边伴有边界模糊的水肿带围绕;治疗后MRI示骨硬化形态、信号同前,周围水肿带有明显的减轻和或消失。结论致密性髂骨炎的MRI检查对确定病变的活动性、客观评价疗效及指导临床治疗有着重要的意义。Objective To investigate the MRI classification of osteitis condensans ilii to the guiding significance of clinical diagnosis and treatment evaluation. Methods 23 patients with lumbosacral pain and 17 patients with no lumbosacral pain who both show as osteitis condensans ilii by X-ray received MRI examination,and we analysed the result. Besides,we contrasted the MRI examination result of 6 patients with lumbosacral pain before and after treatment. Results Asymptomatic osteitis condensans ilii patients＇MRI show as abnormal sclerosis signal of a clear border of the iliac surface of the sacroiliac joint; symptomatic osteitis condensans ilii patients＇ MRI show as osteosclerosis with fuzzy boundaries eder^a around. After treatment,MRI showed bone sclerosis shape,signal with smTounding edema with a significant reduction and or disappear.Con- clusion The MRI examination to osteitis condensans ilii has an important significance for deter- mining the activity of the lesions, evaluating the efficacy objectively and guiding the clinical treatment.

关 键 词：致密性髂骨炎 MRI 分类 

分 类 号：R684.3[医药卫生—骨科学]