摘要
目的探讨强直性脊柱炎的临床与影像学表现特点,分析其早期影像学表现,比较X线与CT对强直性脊柱炎的诊断价值。方法对经临床确诊的43例强直性脊柱炎的临床与影像学表现进行回顾性分析,全部病例均有骶髂关节平片,另外腰椎正侧位片34例,髋关节、膝关节、踝关节片各3例;骶髂关节CT扫描29例。结果所有患者均有骶髂关节炎,其中Ⅰ级2例,Ⅱ级10例,Ⅲ级14例,Ⅳ级17例。脊柱异常表现为竹节状者26例,其他中轴关节异常表现者8例。X线与CT检查对Ⅲ、Ⅳ级骶髂关节表现显示基本相同,CT对早期骶髂关节病变显示明显优于X线摄影。结论强直性脊柱炎早期常累及骶髂关节,逐步向脊柱及中轴关节发展,CT检查能对强直性脊柱炎做出正确分期,对临床诊断及治疗预后有较高的准确性,优于X线平片。
Objective To discuss the clinical and imaging characteritics of the Ankylosing Spondylitis, analyze the early imaging features, compare the diagnosis value of X-ray and CT examination in the patients of Ankylosing Spondylitis. Methods 43 cases of Ankylosing Spondylitis which being confirmed by clinical diagnose were studied by using retrospective analysis, the clinical and the imaging feature （included sacroiliac joint X ray in all 43 cases, lumbar X ray in 34 cases, hip joint X ray in 3 cases, knee joint X ray in 3cases, ankle joint X ray in 3 cases, and CT scan in 29 cases） were analyzed. Results The arthritis of sacroiliac joint were being find in all 43 cases in which 2 cases were defined by Ⅰgrade, 10 cases were defined by U grade, 14 cases were defined by Ⅲ grade and 17 cases were defined by Ⅳ grade. Spine abnormality like bamboo were being find in 26 cases and other abnormal sign of core joint were being find in 8 cases. CT scan were comparative with X ray in Ⅲ-Ⅳ grade but better than X ray in early stage. Conclusions Sacroiliac joint abnormal often being involved in early stage of Ankylosing Spondylitis and the spinal column and core joint abnormal were developed step by step. CT scan played an very important role on early diagnosis, graded and prognosis compared with X ray.
出处
《海南医学》
CAS
2007年第6期24-25,共2页
Hainan Medical Journal
关键词
强直性
脊柱炎
影像学
Ankylosing
S pondylitis
Medical imaging
