实用放射学杂志
實用放射學雜誌
실용방사학잡지
JOURNAL OF PRACTICAL RADIOLOGY
2000年
12期
715-717
,共3页
强直性脊柱炎%骶髂关节%高分辨CT
彊直性脊柱炎%骶髂關節%高分辨CT
강직성척주염%저가관절%고분변CT
ankylosing spondylitis%sacroiliac joint%high resolution computed tomography
目的:评估高分辨CT对强直性脊柱炎(AS)骶髂关节改变的诊断价值。方法:对86例成人AS患者的骶髂关节行高分辨CT扫描,分析其征象,用秩和检验法对不同病程组及同一病程组不同性别患者骶髂关节CT改变分级进行统计学处理。结果:骶髂关节病变的基本征象是关节糜烂、增生硬化、关节间隙改变、关节强直、关节腔内气体影及软组织影。随病程延长病变加重(Ρ<0.01),同病程组病人女性病变重于男性(Ρ<0.01)。结论:高分辨CT能清晰显示骶髂关节的细微结构,有利于认清征象,做出正确诊断。
目的:評估高分辨CT對彊直性脊柱炎(AS)骶髂關節改變的診斷價值。方法:對86例成人AS患者的骶髂關節行高分辨CT掃描,分析其徵象,用秩和檢驗法對不同病程組及同一病程組不同性彆患者骶髂關節CT改變分級進行統計學處理。結果:骶髂關節病變的基本徵象是關節糜爛、增生硬化、關節間隙改變、關節彊直、關節腔內氣體影及軟組織影。隨病程延長病變加重(Ρ<0.01),同病程組病人女性病變重于男性(Ρ<0.01)。結論:高分辨CT能清晰顯示骶髂關節的細微結構,有利于認清徵象,做齣正確診斷。
목적:평고고분변CT대강직성척주염(AS)저가관절개변적진단개치。방법:대86례성인AS환자적저가관절행고분변CT소묘,분석기정상,용질화검험법대불동병정조급동일병정조불동성별환자저가관절CT개변분급진행통계학처리。결과:저가관절병변적기본정상시관절미란、증생경화、관절간극개변、관절강직、관절강내기체영급연조직영。수병정연장병변가중(Ρ<0.01),동병정조병인녀성병변중우남성(Ρ<0.01)。결론:고분변CT능청석현시저가관절적세미결구,유리우인청정상,주출정학진단。
Objective:To evaluate the effect of HRCT in diagnosis of the sacroiliac joint of ankylosing spondylitis(AS).Methods:HRCT scanning of sacroiliac joints were performed in 86 adult patients with AS.CT findings were reviewed.Rank test was used for statistical analysis of the grade of sacroiliac joint changes in two groups based on course of disease and the sex of patients.Results:The CT findings of the sacroiliac joint changes in AS included erosion,arthrosclerosis,change of joint space,arthrokleisis,gas and soft tissue in articular cavity.Pathologic changes were more obvious with the course of disease prolonged (P0.01).In the group during the same course,pathologic changes were more marked in female patients than those in male ones(P0.01).Conclusion:HRCT can show tiny structures of sacroitiac joint clearly.This is beneficial to recognize different patologic changes and make correct diagnosis.