强直性脊柱炎髋关节病变MRI诊断  

MRI Diagnosis of Hip Joint Lesions in Patients with Ankylosing Spondylitis

作　　者：曾效力[1] 黄钰坚[1] 伍琼惠[1] 

机构地区：[1]广州中医药大学附属佛山市中医院CT,MRI室,广东佛山528000

出　　处：《中国CT和MRI杂志》2013年第5期87-89,98,共4页Chinese Journal of CT and MRI

基　　金：佛山市卫生局医学科研立项课题(编号:2010113)

摘　　要：目的探讨MRI对强直性脊柱炎髋关节病变的诊断价值。方法对42例共72个临床证实的强直性脊柱炎髋关节病变MRI资料进行回顾性分析。结果 MRI上强直性脊柱炎髋关节病变表现为骨髓水肿(n=67),软骨不规则增厚、扭曲或变薄、缺失(n=60),滑膜增生(n=49),关节积液(n=70),关节面骨质侵蚀或囊变(n=47),关节间隙改变(n=45),关节增生(n=9)。结论 MRI是强直性脊柱炎髋关节病变早期诊断最有价值的影像手段。Objective To investigate the MRI diagnostic value of hip joint lesions in pa- tients with ankylosing spondylitis. Methods We collected 42 cases of hip joint lesions （n=72） in patients with ankylosing spondylitis and reviewed MRI findings. Results On MRI, hip joint lesions of ankylosing spondylitis presented bone marrow oedema （n=67）; cartilage irregular thickening, twist or thinningz, absence （n=60）. synovium accrementition （n=49）; hydrarthrosis （n=70）; articular facet corrosion or cystic change （n=47）; joint space change （n=45）; hip joint accrementition （n=9）. Conclusion MR1 is the best imaging tool for early diagnosis of hip joint lesions in patients with ankylosing spondylitis,

关 键 词：强直性脊柱炎 髋关节 磁 共振成像 

分 类 号：R445.2[医药卫生—影像医学与核医学] R593.23[医药卫生—诊断学]