摘要
目的 利用核素骶髂关节显像以及骶髂关节与骶骨的核素比值测定方法 ,探讨其在强直性脊柱炎 (AS)治疗监测中的价值。方法 2 9例临床及CT确诊AS的病人 ,共 5 8个骶髂关节 ,先行核素骶髂关节显像及其核素比值测定 ,然后进行临床药物治疗。治疗后 2周再行同样的核素检查方法 ,观察其变化情况。结果 5 8个骶髂关节中 ,有 5 1个骶髂关节示放射性核素呈不同程度浓聚 ,骶髂关节与骶骨放射性比值明显高于正常 ;2周后的检查所见其中原有异常的骶髂关节情况明显改善 ,有 5 1个骶髂关节与骶骨比值均有降低 ,其中 4 7个降至正常范围。两组比较差异有显著意义。结论 核素骶髂关节显像及其骶髂关节与骶骨核素比值测定 ,对骶髂关节炎的活动性监测具有重要的应用价值。
Objective To vealuate the value of sacroilitis bone imaging and dection of radioactivity ratio in monitoring treatment of ankylosing spondy litis(AS).Methods Twenty-nine patients(involving 58 sacroiliac joints) diagnosed clinically and comfirmed by CT scan as AS were studied.We performed the sacroilitis bone imaging and radioactivity detection first.Then,we treated the patients with medicine.And 2 weeks later,we did the same imaging and detection.Results Before medicine therpay,we found the radioactivity increased in 51 sacroiliiac joints,the radioactivity ratio of sacroiliac joint/sacrum was also higher than normal.Two weeks later,we found out the raioactivity and ratio decreased obviously.The changes were significant(P<0.01).Conclusion It is useful to monitor AS treatment effect by sacroiliitis bone scingtigraphic imaging and detection of raioactivity ratio of sacroiliac joint/sacrum.
出处
《中国基层医药》
CAS
2004年第5期583-584,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
核素骶髂关节显像
强直性脊柱炎
治疗
监测
诊断
Ankylosing spondylitis Sacroiliac joint Nuclide Bone scitigraphic imaging
