实用放射学杂志
實用放射學雜誌
실용방사학잡지
JOURNAL OF PRACTICAL RADIOLOGY
2015年
8期
1322-1325
,共4页
刘莹%罗春海%齐顺%郑建民%任静%徐俊卿%魏光全%徐健%唐兴%郝跃文%张劲松
劉瑩%囉春海%齊順%鄭建民%任靜%徐俊卿%魏光全%徐健%唐興%郝躍文%張勁鬆
류형%라춘해%제순%정건민%임정%서준경%위광전%서건%당흥%학약문%장경송
强直性脊柱炎%磁共振成像
彊直性脊柱炎%磁共振成像
강직성척주염%자공진성상
ankylosing spondylitis%magnetic resonance imaging
目的：探讨 MRI 早期检测脊柱炎症受累部位对强直性脊柱炎(AS)的早期诊断价值。方法伴有短期(≤18个月)和长期(≥24个月)炎性背痛史的 AS 患者各20例,回顾性分析所有患者的脊柱 MR 图像,观察和分析脊柱相关区域炎症的 MR 表现。结果伴有短期炎性背痛史的 AS 患者中,出现7个椎体的炎症(包括前/后脊柱炎和椎间盘炎),33个脊柱后部结构的炎症(包括肋椎关节炎、肋横突关节炎、关节突关节炎和附着点炎)。伴有长期炎性背痛史的 AS 患者中,出现27个椎体的炎症,24个脊柱后部结构的炎症。伴有短期炎性背痛史的患者脊柱后部结构的炎症明显多于椎体的炎症,分别为82.5%(33/40)和17.5%(7/40)(P <0.01)；而伴有长期炎性背痛史患者的椎体炎症明显多于伴有短期炎性背痛史的患者,分别为79.4%(27/34)和20.6%(7/34)(P <0.01)。结论伴有短期炎性背痛史的 AS 患者脊柱的炎性病变主要发生于脊柱后部结构,这种发现提示 MRI 对脊柱炎症受累部位的早期检测有助于 AS 的早期诊断。
目的：探討 MRI 早期檢測脊柱炎癥受纍部位對彊直性脊柱炎(AS)的早期診斷價值。方法伴有短期(≤18箇月)和長期(≥24箇月)炎性揹痛史的 AS 患者各20例,迴顧性分析所有患者的脊柱 MR 圖像,觀察和分析脊柱相關區域炎癥的 MR 錶現。結果伴有短期炎性揹痛史的 AS 患者中,齣現7箇椎體的炎癥(包括前/後脊柱炎和椎間盤炎),33箇脊柱後部結構的炎癥(包括肋椎關節炎、肋橫突關節炎、關節突關節炎和附著點炎)。伴有長期炎性揹痛史的 AS 患者中,齣現27箇椎體的炎癥,24箇脊柱後部結構的炎癥。伴有短期炎性揹痛史的患者脊柱後部結構的炎癥明顯多于椎體的炎癥,分彆為82.5%(33/40)和17.5%(7/40)(P <0.01)；而伴有長期炎性揹痛史患者的椎體炎癥明顯多于伴有短期炎性揹痛史的患者,分彆為79.4%(27/34)和20.6%(7/34)(P <0.01)。結論伴有短期炎性揹痛史的 AS 患者脊柱的炎性病變主要髮生于脊柱後部結構,這種髮現提示 MRI 對脊柱炎癥受纍部位的早期檢測有助于 AS 的早期診斷。
목적：탐토 MRI 조기검측척주염증수루부위대강직성척주염(AS)적조기진단개치。방법반유단기(≤18개월)화장기(≥24개월)염성배통사적 AS 환자각20례,회고성분석소유환자적척주 MR 도상,관찰화분석척주상관구역염증적 MR 표현。결과반유단기염성배통사적 AS 환자중,출현7개추체적염증(포괄전/후척주염화추간반염),33개척주후부결구적염증(포괄륵추관절염、륵횡돌관절염、관절돌관절염화부착점염)。반유장기염성배통사적 AS 환자중,출현27개추체적염증,24개척주후부결구적염증。반유단기염성배통사적환자척주후부결구적염증명현다우추체적염증,분별위82.5%(33/40)화17.5%(7/40)(P <0.01)；이반유장기염성배통사환자적추체염증명현다우반유단기염성배통사적환자,분별위79.4%(27/34)화20.6%(7/34)(P <0.01)。결론반유단기염성배통사적 AS 환자척주적염성병변주요발생우척주후부결구,저충발현제시 MRI 대척주염증수루부위적조기검측유조우 AS 적조기진단。
Objective To investigate the early diagnosis value of MR by detecting spinal inflammatory lesions in ankylosing spon-dylitis (AS).Methods Forty patients were involved in this study,including 20 cases with short inflammatory back pain (IBP)histo-ry (duration ≤18 months)and 20 cases with long IBP history (duration ≥24 months).MR images were analyzed retrospectively. Results Patients with a short history of IBP had 7 lesions in vertebral bodies (anterior/posterior spondylitis and spondylodiscitis) and 33 lesions in posterior spinal structures (arthritis of costovertebral joints,costotransversal joints,zygapophyseal joints and en-thesitis of spinal ligaments).Patients with a long history of IBP had 27 lesions in vertebral bodies and 24 lesions in posterior spinal structures.Patients with a short history of IBP had significantly more lesions in posterior spinal structures than in vertebral bodies with 82.5% (33/40)vs 1 7.5% (7/40),respectively (P <0.01).In contrast,patients with a long history of IBP had significantly more inflammation in vertebral bodies with 79.4% (27/34)vs 20.6% (7/34),respectively (P <0.01).Conclusion Inflammatory spinal lesions in patients with a short history of IBP are seen more often in the posterior structures.Early detection of inflammatory spinal lesions by MRI is useful for early diagnosis of AS.
