骶髂关节彩超诊断早期强直性脊柱炎的临床研究  

Role of color doppler ultrasonograpy of sacroiliac joint in diagnosis of early ankylosing spondylitis

作　　者：林霖[1] 黄志平[1] 廖福苑[1] 黄智华[1] 郭朝清[1] LIN Lin;HUANG Zhiping;LIAO Fuyuan;HUANG Zhihua;GUO Chaoqing(Ganzhou People’s Hospital,Ganzhou 341000,China;不详)

机构地区：[1]赣州市人民医院,江西赣州341000

出　　处：《现代医院》2020年第11期1706-1709,共4页Modern Hospitals

基　　金：江西省卫生计生委科技计划项目(20194052)。

摘　　要：目的研究应用骶髂关节彩超检查诊断早期强直性脊柱炎(AS)的价值。方法选择医院2019年1月-2019年12月纳入的62例疑似AS患者,其中经实验室检查阳性疑似AS患者38例作为A组,实验室检查阴性疑似AS患者24例作为B组,另选择同一时间来医院体检的60例健康者作为C组,统计并整理所有研究对象的齐全资料,分别给予骶髂关节彩超检查,观察3组检查结果。结果 3组在骶髂关节血流信号等级上存在显著差异,其中A组中0、1级检出率均低于B、C组,但2、3级检出率高出B、C组(P <0.05)。3组在骶髂关节血流显示结果上存在显著差异,其中C组中静脉、动脉、总血流显示率均低于A、B组(P <0.05)。A组RI为(0.52±0.13)、B组为(0.56±0.11),明显低于C组(0.91±0.20)(t=10.667,8.079,P <0.05)。A组中骶髂关节滑膜血管增生者有32例(84.21%)、关节间隙宽度狭窄者有33例(86.84%),B组骶髂关节滑膜血管增生者有19例(79.17%)、关节间隙宽度狭窄者有20例(83.33%),明显高出C组5例(8.33%)、3例(5.00%)(X^2=67.255,79.614,P <0.05)。结论骶髂关节彩超检查运用于早期AS中效果显著,经过检查可明显观察到患者的血流信号情况,可成为诊断临床早期AS疾病的方式。Objective To study the role of color Doppler ultrasonography of sacroiliac joint in the diagnosis of early ankylosing spondylitis( AS). Methods Sixty-two patients suspected of AS who were treated in the hospital from January to December 2019 were divided into two groups: group A suspected positive( n = 38) and group B suspected negative( n = 24)according to the laboratory examination. Another 60 healthy people who visited for health examination during the same period were set as group C. The data of all research subjects were investigated. Color Doppler ultrasonography was performed to the sacroiliac joint and imaging results of three groups were compared. Results There were significant differences in the level of blood flow signal among the 3 groups. Detection rates of level 0 and level 1 blood flow signals in group A were lower than those of group B and group C,but detection rates of level 2 and level 3 were higher than that of group B and group C( P <0. 05). The blood flow display had a significant difference among the 3 groups. Vein,artery and overall blood flow display rates in group C were lower than those of group A and group B( P < 0. 05). RI( resistance index) in group A and group B was( 0. 52 ± 0. 13) and( 0. 56 ± 0. 11),respectively,both significantly lower than that of group C( 0. 91 ± 0. 20)( t =10. 667,8. 079;P < 0. 05). The occurrences of synovial vascular proliferation of sacroiliac joint and narrowing joint space in group A( 32 cases,taking up 84. 21%;33 cases,taking up 86. 84%,respectively) and group B( 19 cases,taking up79. 17%;20 cases,taking up 83. 33%,respectively) were significantly higher than those of group C( 5 cases,taking up8. 33%;3 cases,taking up 5. 00%)( X^2= 67. 255,79. 614,P < 0. 05). Conclusion Color Doppler ultrasonograpy of sacroiliac joint is effective in the early diagnosis of AS,for it can clearly reveal the blood flow signals.

关 键 词：诊断 强直性脊柱炎 骶髂关节彩超 检查 

分 类 号：R593.23[医药卫生—内科学] R445.1[医药卫生—临床医学]