基于文献计量学骶髂关节半脱位影像学诊断标准的探讨  

Discussion on the imaging diagnosis standard of sacroiliac joint subluxation based on Bibliometrics

作　　者：祁冀[1] 武凯 平瑞月 徐燕笑 张少群[1] 张磊 廖立青 李义凯[1] QI Ji;WU Kai;PING Rui-yue;XU Yan-xiao;ZHANG Shao-qun;ZHANG Lei;LIAO Li-qing;LI Yi-kai(School of Traditional Chinese Medicine,Southern Medical University,Guangzhou 510515,China;Guangzhou University of Chinese Medicine,Guangzhou 510009,China;Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University,Sichuan,Luzhou 646000,China)

机构地区：[1]南方医科大学中医药学院,广州510515 [2]广州中医药大学,广州510009 [3]西南医科大学附属中医医院,四川泸州646000

出　　处：《中国中医基础医学杂志》2020年第3期341-344,共4页JOURNAL OF BASIC CHINESE MEDICINE

基　　金：国家自然科学基金面上项目(81674095)-复位手法对骶髂关节应力-应变的影响及骶髂关节稳定性的解剖学研究。

摘　　要：目的:基于文献计量学方法,探讨分析骶髂关节半脱位的影像学诊断标准。方法:回顾2017年5月30日前有关骶髂关节半脱位的中文文献,对文献中骶髂关节半脱位的病因及影像学诊断标准进行归纳分析。结果:共纳入283篇符合要求的文献,167篇有影像学诊断标准,骨盆X线正位片和斜位片是最常用的诊断方法,骶髂关节间隙增宽或狭窄、双侧髂嵴不等高、骶髂关节密度增高或粗糙和骶髂关节间隙模糊是报道最多的几种影像学依据,文献中的骶髂关节间隙变化和髂嵴高度异常标准不统一。结论:骶髂关节半脱位的影像学诊断依据混乱,关节间隙和髂嵴高度差异等可能的依据也常见于强直性脊柱炎等疾病,以上标准仍存在一些问题。Objective:To investigate the diagnostic criteria for sacroiliac joint(SIJ)subluxation by use of bibliometric,especially in radiology.Methods:Related literature before 30 th,May,2017,was retrospectively searched.We included the ones with clear diagnostic criteria and analyzed the reported diagnosis in radiology.Result:A total of 283 papers were included and 167 of them reported clear diagnostic criteria;Routine frontal and oblique X-ray pelvic films were commonly used for diagnosis;Bilateral differences in SIJ space,height of iliac crest and pubic symphysis;Criteria was insufficient in bilateral differences in SIJ space.Conclusion:Diagnostic criteria in radiology of SIJ subluxation were disordered and different in literature.Increase of bone density around articular or ambiguity of SI joint space is also the iconographical sign of ankylosing spondylitis.And common radiologic criteria in literature still exist problems.

关 键 词：骶髂关节 诊断 影像学 

分 类 号：R274.2[医药卫生—中医骨伤科学]