摘要
目的探讨多层螺旋CT(mult-islice spiral CT,MSCT)在强直性脊柱炎(ankylosing spondylitis,AS)骶髂关节病变的诊断及分期中的应用价值。方法回顾性分析82例AS患者骶髂关节的MSCT表现,对其进行分期。结果 82例中,双侧骶髂关节正常9例,单侧受累6例,双侧均受累67例;164个骶髂关节中,0级24个(构成比0.146),Ⅰ级42个(构成比0.256),Ⅱ级36个(构成比0.220),Ⅲ级54个(构成比0.329),Ⅳ级8个(构成比0.049)。结论 MSCT分期为AS骶髂关节病变提供了半定量分析方法,更客观、准确地反映了患者的病情及骶髂关节受累程度,为长期随访患者的病情和疗效判断提供了客观依据。
Objective To evaluate the clinical values of multi-slice spiral CT（MSCT） in the diagnosis and staging of sacroiliac arthropathy in patients with ankylosing spondylitis（AS）.Methods The MSCT features of sacroiliac arthropathy in 82 patients with AS were analyzed retrospectively,and the staging of sacroiliac arthropathy were determined by MSCT.Results Of 82 patients,there were normal bilateral sacroiliac joints in 9,unilateral involvement in 6,and bilateral involvement in 67.Of 164 sacroiliac joints,24（accounting for 0.146） were classified into grade 0,42（accounting for 0.256） into grade Ⅰ,36（accounting for 0.220） into grade Ⅱ,54（accounting for 0.329） into grade Ⅲ,and 8（accounting for 0.049） into grade Ⅳ.The CT features included cartilage calcification,joint space narrowing or widening,articular surface and undersurface erosion,and ligament calcification.Conclusion MSCT staging of sacroiliac arthropathy provides a method of semi-quantitative analysis on AS.It can reflect the clinical state of AS more objectively and accurately,and can provide an objective basis for judgement on the disease conditions and curative effects in patients with long-term follow-up.
出处
《安徽中医学院学报》
CAS
2011年第5期42-44,共3页
Journal of Anhui Traditional Chinese Medical College
基金
国家中医药重点学科中医痹病学建设项目(国中医药发[2009]30号)
安徽省科研计划项目(09020304046)
安徽省卫生厅中医药科研项目(2009ZY05)
安徽中医学院科技创新团队项目(2010TD005)
关键词
强直性脊柱炎
骶髂关节病
多层螺旋CT
分期
ankylosing spondylitis
sacroiliac arthropathy
multi-slice spiral CT
staging
