【摘要】 目的探讨分析应用螺旋CT和MRI在临床中对早期强直性脊柱炎骶髂关节病变的诊断效果。方法回顾性分析我院自2016年3月—2017年3月收治的50例强直性脊柱炎患者的临床资料,对比分析其螺旋CT和磁共振的影像资料,根据强直性脊柱炎的影像学分级统计两种检查的检出率以及分级检出情况,比较分析两种检查方式的诊断符合情况及对临床的指导意义。结果螺旋CT检出40例,检出率80%,MRI检查检出48例,检出率96%,MRI检查的检出率高于螺旋CT检查;MRI检查诊断强直性脊柱炎患者骶髂关节病变Ⅰ级的检出率高于CT检查,在0级、Ⅱ级、Ⅲ级、Ⅳ级的诊断,螺旋CT检查和MRI检查差异无统计学意义(P>0.05)。结论对早期强直性脊柱炎骶髂关节病变的诊断,MRI相对于螺旋CT具有一定的优势,是临床可以首先考虑的检查方式。更多还原

【Abstract】 Objective To explore the application of spiral CT and MRI in the clinical diagnosis of early ankylosing spondylitis sacroiliac joint disease. Methods The clinical data of 50 patients with ankylosing spondylitis from March 2016 to March 2017 were retrospectively analyzed, and analyzed the images of spiral CT and magnetic resonance imaging. According to the imaging grade of ankylosing spondylitis, counted the detection rate and the classification of the two examinations, and compared and analyzed the diagnosis and clinical significance of the two methods. Results 40 cases were detected by spiral CT, the detection rate was 80%, 48 cases were detected by MRI, the detection rate was 96%, and the detection rate of MRI was higher than that of spiral CT. MRI examination of ankylosing spondylitis in patients with sacroiliac joint disease grade Ⅰ detection rate was higher than CT examination, and there was no significant difference in the diagnosis, spiral CT and MRI of grade 0, grade Ⅱ, grade Ⅲ and grade Ⅳ(P > 0.05). Conclusion The diagnosis of sacroiliac joint disease of early ankylosing spondylitis, MRI has some advantages over spiral CT, which is the first way to check the clinical way.更多还原