骶髂关节周围韧带钙化规律的CT征象分析  

Analysis of CT signs of calcifcation’s regulation of the peri-sacroiliac joint ligaments

作　　者：张丹 王其军 崔姝 马民 封会建 赵大庆 李彤彤 ZHANG Dan;WANG Qi-jun;CUI Shu;MA Min;FENG Hui-jian;ZHAO Da-qing;LI Tong-tong(Medical Imaging Center,Qingdao West Coast New District People’s Hospital,Qingdao,Shandong,266400,China)

机构地区：[1]青岛市西海岸新区人民医院医学影像中心,山东省266400

出　　处：《中国骨与关节杂志》2024年第8期584-589,共6页Chinese Journal of Bone and Joint

摘　　要：目的探讨骶髂关节周围韧带钙化的分布规律,以期为脊柱韧带钙化机制的研究提供更多依据。方法回顾分析2022年1月我院影像归档和通讯系统(picture ar-chiving and communication system,PACS)上包含骶髂关节的腹盆腔检查及腰骶部检查的患者的CT影像资料,通过纳入及排除标准入组连续病例1266例,男702例,女564例,年龄18~95岁。按照骶髂关节韧带钙化位置分为前方、中间、后方及上下部4组;按照10岁间隔分为7个年龄段组,其中20岁以下患者纳入18~29岁组,90岁以上患者纳入>80岁组。应用SPSS 25.0统计软件行χ^(2)检验及Spearman相关分析,统计分析骶髂关节周围韧带钙化的患病率及其与患者年龄、性别的相关性,各组间比较使用t检验。结果骶髂关节周围韧带钙化的患病率在不同性别间差异有统计学意义(P<0.05),女性(82.45%)高于男性(73.79%),且钙化数量在不同性别间差异亦有统计学意义(P<0.05);骶髂关节后方韧带钙化的患病率在不同性别间差异有统计学意义(P<0.05),钙化数量差异有统计学意义(P<0.05);在不同性别间,40~59岁年龄段人群骶髂关节后方韧带钙化的患病率差异有统计学意义(P<0.05);骶髂关节其余位置韧带钙化的患病率在各年龄段中无性别差异。结论骶髂关节周围韧带钙化在发生概率及数量上女性高于男性,高发年龄段女性为40~49岁,男性为70~79岁,钙化更易发生于骶髂关节后方韧带。Objective To investigate the distribution pattern of calcification of the ligaments around the sacroiliac joint,aiming to provide basis for the study of the mechanism of spinal ligament ossifcation.Methods The CT imaging data of 1266 patients with abdominopelvic examination and lumbosacral examination containing sacroiliac joints on the imaging PACS system of Qingdao West Coast New Area People’s Hospital in January 2022 were retrospectively analyzed.There were 702 males and 564 females,with an age range of 18 to 95 years.The patients were divided into 4 groups according to the location of sacroiliac joint ligament ossifcation:anterior,middle,posterior and superior-inferior;and into 7 age groups according to the 10-year interval.Theχ^(2) test and Spearman’s correlation analysis by SPSS 25.0 statistical software were applied to statistically analyse the prevalence of peri-sacroiliac ligament calcifcation and the correlation with patients’age and gender.t-test was used for comparison between groups.Results The prevalence of ligament calcification around the sacroiliac joint was statistically significant between different genders(P<0.05);female(82.45%)was higher than male(73.79%).There were also statistical differences in the volume of calcifcation between different genders(P<0.05);the prevalence of calcifcation of the posterior ligament of the sacroiliac joint varied statistically between different genders(P<0.05).There were statistical differences in the prevalence of the posterior ligament calcifcation of the sacroiliac joint in the age group of 40-59 years old between different genders(P<0.05).There was no gender difference in the prevalence of ligament calcification in other positions of the sacroiliac joint.Conclusions Calcifcation of the peripheral ligament of the sacroiliac joint is more likely to occur in women than in men in terms of probability and volume,with a high prevalence in the age group of 40-49 years in women and 70-79 years in men.The calcifcation is more likely to occur in the posterior l

关 键 词：骶髂关节 韧带 骨生成 体层摄影术 X线计算机 

分 类 号：R686.5[医药卫生—骨科学]