摘要
目的:比较CT与MRI在强直性脊柱炎骶髂关节病变诊断中的应用价值。方法:选取湛江中心人民医院2015年5月至2017年8月间收治的45例强直性脊柱炎骶髂关节病变患者作为研究对象,所有患者分别行CT与MRI检查,比较两种检查方式的诊断结果。结果:MRI在强直性脊柱炎骶髂关节病变分级诊断中对Ⅰ级病变患者的诊断正确率高于CT检查,差异具有统计学意义(P<0.05),而CT检查诊断骨质侵蚀及骨质硬化的正确率明显高于MRI检查,差异具有统计学意义(P<0.05)。结论:MRI检查对于早期强直性脊柱炎骶髂关节病变的诊断效果优于CT检查,而CT检查对骨质侵蚀及骨质硬化的诊断效果优于MRI检查,临床应联合两种检查,以提高疾病的诊断正确率。
Objective To compare the application value of CT and MRI in sacroiliac joint in ankylosing spondylitis diagnosis. Methods Forty-fi ve patients with ankylosing spondylitis and ankle joint disease admitted from Zhanjiang Central People＇s Hospital from May 2015 to August 2017 were selected as subjects. All patients underwent CT and MRI, and the results of the two examination methods were compared. Results The results of MRI in sacroiliac joint in ankylosing spondylitis grading diagnosis of grade 0 and grade I in patients with the correct rate is higher than the CT（P〈0.05）, and the correct rate of CT examination and diagnosis of bone sclerosis of bone erosion was signifi cantly higher In MRI（P〈0.05）. Conclusion MRI examination for the diagnosis of early sacroiliitis in ankylosing spondylitis is better than CT examination, CT examination and bone erosion and bone sclerosis diagnosis is better than MRI examination, clinical examination should be combined with two kinds of diseases, in order to improve the accuracy of diagnosis.
作者
李莹
刘培钧
LI Ying;LIU Pei-jun(Zhanjiang Central People＇s Hospital,Guangdong Zhanjiang 52403)
出处
《深圳中西医结合杂志》
2018年第16期67-68,共2页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
