[1]薛三宝.MRI诊断强直性脊柱炎骶髂关节病变的影像学价值[J].医学信息,2022,35(22):142-144.[doi:10.3969/j.issn.1006-1959.2022.22.034]
 XUE San-bao.Imaging Value of MRI in Diagnosis of Sacroiliac Joint Lesions in Ankylosing Spondylitis[J].Journal of Medical Information,2022,35(22):142-144.[doi:10.3969/j.issn.1006-1959.2022.22.034]
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MRI诊断强直性脊柱炎骶髂关节病变的影像学价值()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年22期
页码:
142-144
栏目:
诊疗技术
出版日期:
2022-11-15

文章信息/Info

Title:
Imaging Value of MRI in Diagnosis of Sacroiliac Joint Lesions in Ankylosing Spondylitis
文章编号:
1006-1959(2022)22-0142-03
作者:
薛三宝
(南京市溧水区中医院/扬州大学医学院临床学院医学影像科,江苏 南京 211200)
Author(s):
XUE San-bao
(Department of Medical Imaging,Nanjing Lishui District Hospital of Traditional Chinese Medicine/Clinical School of Yangzhou University Medical College,Nanjing 211200,Jiangsu,China)
关键词:
强直性脊柱炎骶髂关节病变MRI骨髓水肿关节间隙变窄
Keywords:
Ankylosing spondylitisSacroiliac joint diseaseMRIBone marrow edemaJoint space narrowing
分类号:
R593.23
DOI:
10.3969/j.issn.1006-1959.2022.22.034
文献标志码:
A
摘要:
目的 研究磁共振成像(MRI)诊断强直性脊柱炎(AS)骶髂关节病变的影像学价值。方法 选取2017年5月-2021年12月南京市溧水区中医院确诊的60例AS骶髂关节病变患者,分别行X线与MRI检查,比较两种检测方式对骶髂关节病变及其影像学征象的检出情况,并借助加拿大脊柱关节炎研究协会(SPARCC)骶髂关节评分系统,分析MRI的诊断价值。结果 MRI对骶髂关节病变的检出率高于X线(P<0.05);MRI对关节面侵蚀、骨质囊变、关节软骨肿胀的检出率高于X线(P<0.05);MRI对0级、Ⅰ级、Ⅱ级强直性脊柱炎的检出率高于X线(P<0.05);不同SPARCC评分患者的BASDAI评分与晨僵时间比较,差异有统计学意义(P<0.05);Spearman相关分析显示,SPARCC评分与BASDAI评分、晨僵时间呈正相关(P<0.05)。结论 MRI对AS骶髂关节病变具有较高检出价值,其相关评分(SPARCC评分)与AS病情严重程度呈正相关。
Abstract:
Objective To study the imaging value of magnetic resonance imaging (MRI) in the diagnosis of sacroiliac joint lesions in ankylosing spondylitis (AS).Methods From May 2017 to December 2021, 60 patients with AS sacroiliac joint disease diagnosed in Nanjing Lishui District Hospital of Traditional Chinese Medicine were examined by X-ray and MRI respectively. The detection of sacroiliac joint disease and its imaging signs were compared between the two methods. The diagnostic value of MRI was analyzed with the help of the Spondyloarthritis Research Consortium of Canada(SPARCC) sacroiliac joint scoring system.Results The detection rate of sacroiliac joint lesions by MRI was higher than that by X-ray (P<0.05). The detection rate of articular surface erosion, bone cyst degeneration and articular cartilage swelling was higher by MRI than by X-ray (P<0.05). The detection rate of MRI for grade 0, Ⅰ and Ⅱ ankylosing spondylitis was higher than that of X-ray (P<0.05). There were significant differences in BASDAI score and morning stiffness time in patients with different SPARCC scores (P<0.05). Spearman correlation analysis showed that SPARCC score was positively correlated with BASDAI score and morning stiffness time (P<0.05).Conclusion MRI has high detection value for AS sacroiliac joint lesions, and its correlation score (SPARCC score) is positively correlated with the severity of AS disease.

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更新日期/Last Update: 1900-01-01