强直性脊柱炎骶髂关节病变的 CT 与 MRI 影像学诊断价值 |
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引用本文: | 李杰,周旭峰. 强直性脊柱炎骶髂关节病变的 CT 与 MRI 影像学诊断价值[J]. 临床心身疾病杂志, 2016, 0(1): 96-97. DOI: 10.3969/j.issn.1672-187X.2016.01.033-0096-02 |
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作者姓名: | 李杰 周旭峰 |
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作者单位: | 1. 475000河南,·开封开封市中心医院;2. 471000河南·洛阳,洛阳市中心医院 |
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摘 要: | 目的:探讨 CT 和 MRI 对强直性脊柱炎骶髂关节病变的诊断价值。方法对80例强直性脊柱炎骶髂关节病变患者均采用螺旋 CT 和 MRI 影像检测诊断,比较两种诊断的影像表现和诊断结果。结果CT 影像 I 级诊断率为27.5%,显著低于 MRI 影像 I 级诊断率(42.5%),差异有显著性(χ2=3.96,P <0.05);影像0、II、III、IV 级诊断率与 MRI 诊断结果比较差异均无显著性(P >0.05)。结论CT 和 MRI 均为强直性脊柱炎骶髂关节病变的有效诊断方法,二者各有其特点和不足,但 MRI 更适合早期诊断。
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关 键 词: | 强直性脊柱炎骶髂关节病变 CT MRI 影像诊断 |
CT and MRI diagnostic value for sacroiliac joint lesions in an-kylosing spondylitis |
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Abstract: | Objective To explore CT and MRI diagnostic value for sacroiliac joint lesions in ankylosing spondylitis (SJLAS).Methods Eighty SJLAS patients were all diagnosed using spiral CT and MRI,ima-ging manifestations and diagnostic results compared between 2 examinations.Results Class I CT diagno-sis rate was 27.5% and significantly lower than MRI (42.5%)(χ2 =3.96,P <0.05);there were no sig-nificant differences in class 0,II,III and IV diagnosis rate between CT and MRI (P >0.05).Conclusion Both CT and MRI are effective diagnosis methods for SJLAS and have characteristics and insufficiencies, but MRI is more suitable for early diagnosis. |
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Keywords: | SJLAS CT MRI imaging diagnosis |
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