CT、X线平片及MRI平扫在强直性脊柱炎骶髂关节病变诊断中的临床应用  

作　　者：薛太平[1] 李安松[1] 郑云云 

机构地区：[1]四川省射洪县人民医院,四川射洪629200

出　　处：《湖南中医药大学学报》2018年第A01期3-3,共1页Journal of Hunan University of Chinese Medicine

摘　　要：目的:比较在诊断强直性脊柱炎骶髂关节病变中采取MRI平扫、X线平片、CT检查的临床效果以及价值。方法:本次研究对象选为2015年7月至2017年7月期间纳入的55例强直性脊柱炎骶髂关节病变患者,采取回顾性分析方式对所有数据进行了解,比较经MRI平扫检查、CT检查、X线检查强直性脊柱炎骶髂关节病变之后的情况。结果:数据研究显示,CT诊断强直性脊柱炎骶髂关节病变检出率60.00%显著高于X线平片检出率36.36%,P<0.05,统计学形成对比研究差异性。MRI平扫诊断强直性脊柱炎骶髂关节病变检出率87.27%对比CT检出率60.00%、X线平片检出率36.36%显著更高,P<0.05,统计学形成对比研究差异性。结论:在对强直性脊柱炎骶髂关节病变早期诊断过程中MRI检查与CT检查具有显著优势,存在更高检出率,对于诊断骨质疏松、关节软骨肿胀、骨质侵蚀、骨质囊变等表现具有显著意义。Objective:To compare the clinical effects and the value of plain radiography,plain radiography and CT in the diagnosis of sacroiliac joint disease of ankylosing spondylitis.Methods:The subjects were selected from 55 cases of ankylosing spondylitis sacroiliac joint disease from July 2015 to July 2017.All the data were analyzed retrospectively.All the data were compared by plain MRI scan,CT examination,X-ray examination of ankylosing spondylitis after sacroiliac joint disease.Results:The data showed that the detection rate of sacroiliac joint lesions in CT diagnosis of ankylosing spondylitis was 60.00%,significantly higher than that of X-ray plain film(36.36%,P<0.05).MRI plain scan diagnosis of ankylosing spondylitis sacroiliac joint disease detection rate of 87.27%contrast CT detection rate of 60.00%,X-ray detection was 36.36%significantly higher,P<0.05,statistically significant difference between the study.Conclusion:MRI and CT examination have obvious advantages in the early diagnosis of sacroiliac joint lesions of ankylosing spondylitis,there is a higher detection rate,for the diagnosis of osteoporosis,articular cartilage swelling,bone erosion,bone cystic degeneration Such performance has significant meaning.

关 键 词：CT X线平片 MRI平扫 强直性脊柱炎骶髂关节病变 

分 类 号：R593.23[医药卫生—内科学]