摘要
目的探讨X线平片在早期强直性脊柱炎骶髂关节病变中的诊断价值。方法将医院收治的早期强直性脊柱炎骶髂关节病变的患者90例作为研究对象,均先后行X线平片及CT检查,对比分析两种检查方法下病灶的表现征象及检出率。结果两种方式对0级、Ⅲ级、Ⅳ级病变的检出率比较无统计学差异(P>0.05),但CT对Ⅰ级、Ⅱ级病变检出率高于X线平片(P<0.05);两种方式对关节间隙变宽、关节强直等征象检出率无统计学差异(P>0.05),但CT对关节间隙变窄的检出率高于X线平片(P<0.05)。结论 CT检查可以更早期发现强直性脊柱炎骶髂关节病变,使患者得到早期治疗,有利于防止或延缓疾病的发展。
Objective To explore the diagnostic value of X-ray plain film in early sacroiliac joint lesions of ankylosing spondylitis. Methods A total of 90 patients with early sacroiliac joint lesions in ankylosing spondylitis treated in our hospital were selected as the research subjects. X-ray plain film and CT examinations were performed successively, and the manifestations and detection rates of the lesions under the two methods were compared and analyzed. Results There was no statistical difference in the detection rate of lesions at grade 0, grade Ⅲ and grade Ⅳ under the two methods（P 〉 0.05）, but the detection rates of lesions at grade- Ⅰ and grade- Ⅱ under CT were higher than those under X-ray plain film（P 〈 0.05）. There was no statistical difference in the detection rate of joint space widening and joint ankylosis under the two methods （P 〉 0.05）, but the detection rate of joint space narrowing under CT was higher than that under X-ray plain film （P 〈 0.05）. Conclusion CT examination can detect the sacroiliac joint lesions in ankylosing spondylitis much earlier so that the patients can get treatment early, which is conducive to preventing or delaying the development of disease.
作者
王吉辉
Wang Ji Hui(Department of Radiology,Baoji City Hospital of Traditional Chinese Medicine,Baoji,Shaanxi,721001,China)
出处
《西南国防医药》
CAS
2018年第6期525-527,共3页
Medical Journal of National Defending Forces in Southwest China
关键词
X线
早期
强直性脊柱炎
骶髂关节
病变
诊断
X-ray
early stage
ankylosing spondylitis
sacroiliac joint
lesion
diagnosis
