CT与X线平片对强直性脊柱炎的诊断价值  

Evaluation of CT and X-ray Plain Film for Diagnosis of Ankylosing Spondylitis

作　　者：易文中[1] 易明君[1] 李维金[1] 

机构地区：[1]湖南省怀化市第一人民医院,湖南怀化418000

出　　处：《医学临床研究》2003年第3期186-188,共3页Journal of Clinical Research

摘　　要：目的探讨CT与X线平片对强直性脊柱炎的诊断价值。方法回顾分析 84例强直性脊柱炎患者的X线表现 ,其中 4 6例行骶髂关节、髋关节CT扫描 ,18例行腰椎CT扫描。结果病变主要累及双侧骶髂关节 84例 (10 0 %) ,其次为脊柱 (74 .8%)和双髋关节 (37.9%) ,其他周围关节炎仅 6例。结论强直性脊柱炎的X线表现有一定的特征性 ,对临床疑强直性脊柱炎患者X线检查十分必要 ,CT对病变的显示更清晰 ,对于X线平片可疑的病变 ,CT常可排除或肯定诊断 ,但不能取代X线平片检查。ObjectivesTo discuss the diagnostic value of CT and X ray plain film for ankylosing spondylitis(AS).MethodsRadiological manifestations in eighty four patients with AS were analyzed retrospectively. CT scanning of sacroiliac joints and hip joints was performed in 46 cases and that of lumbar spine in 18 cases.ResultsThe bilateral sacroiliac joints were involved in all 84 cases (100%), spine(74.8%) and bilateral hips(37.9%) were also involved. Other peripheral joints involved were observed only in 6 cases.ConclusionCharacteristic manifestations on CT and x ray plain film are helpful to diagnose AS .It is necessary to take x ray plain film for those cases suspected as AS clinically. By contrast, CT can display much clear image of lesions. For lesions suspected by X ray plain film , CT can often rule out or confirm the diagnosis ,but can't replace X ray examination. X ray plain film is still the first choice and basic method for diagnosis of AS.

关 键 词：CT X线平片 强直性脊柱炎 诊断 

分 类 号：R593.23[医药卫生—内科学] R816.8[医药卫生—临床医学]