CAJ | 학술논문

目的：探讨M RI在强直性脊柱炎相关骶髂关节病变的诊断价值。方法对23例临床怀疑为强直性脊柱炎患者的X线平片、C T及M R检查结果进行分析。结果23例患者中X线平片检查确诊的7例共9侧；C T检查明确11例18侧骶髂关节病变；M RI多序列检查23例患者中均表现为异常，特别是X线平片及C T不能显示的骨髓水肿、滑膜病变、脂肪沉积、肌腱附着点炎、被膜炎及关节软骨破坏。结论 M RI多序列联合应用能发现X线平片及C T 不能显示的AS的早期病变表现，为临床怀疑AS病变相关性骶髂关节炎的首选检查方法。
목적：탐토M RI재강직성척주염상관저가관절병변적진단개치。방법대23례림상부의위강직성척주염환자적X선평편、C T급M R검사결과진행분석。결과23례환자중X선평편검사학진적7례공9측；C T검사명학11례18측저가관절병변；M RI다서렬검사23례환자중균표현위이상，특별시X선평편급C T불능현시적골수수종、활막병변、지방침적、기건부착점염、피막염급관절연골파배。결론 M RI다서렬연합응용능발현X선평편급C T 불능현시적AS적조기병변표현，위림상부의AS병변상관성저가관절염적수선검사방법。
Objective To investigate the diagnostic value of MRI in relative sacroiliac joint lesions of ankylosing spondy-litis .Methods We analyzed the X-ray plain film ,CT and MR examination results of 23 patients who were clinically sus-pected as ankylosing spondylitis .Results Among the 23 patients ,9 sides of 7 cases were confirmed as lesion by X-ray plain film examination ,18 sides of 11 cases as sacroliac joint lesion by CT examination .All 23 patients showed to be ab-normal by MRI examination ,especially those that cannot be indicated by X-ray plain film and CT ,such as bone marrow e-dema ,synovial membrane lesion ,flat deposition ,tendon enthesitis ,capsule inflammation and joint cartilage destruction . Conclusion MRI with sequences can find early lesion manifestation of AS that cannot be indicated by X-ray plain film or CT and it can be the first examination choice for relative sacroiliac arthritis of AS lesions that were clinically suspected .