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目的:探究X线在诊断强直性脊柱炎骶髂关节病变中的价值。方法:本次研究的对象均为2016年4月至2017年4月来我院就诊的强直性脊柱炎骶髂关节病变患者,共64例,回顾性分析患者的X线和CT影像学资料,对比两种诊断方法的价值。结果:X线诊断强直性脊柱炎骶髂关节病变的影像学分级为0级、I级、II级、III级和IV级的分别为8例、9例、27例、10例和10例,两种诊断方法影像学分级情况比较不具有统计学意义(P>0.05);CT诊断和X线诊断骶髂关节病变征像为正常、关节强直、关节间隙异常以及关节软骨硬化的检测率比较差异无统计学意义(P>0.05),X线诊断在关节面模糊和关节软骨侵蚀征像的检测率明显要比对照组的更高,组间比较差异具有统计学意义(P<0.05)。结论:X线在诊断强直性脊柱炎骶髂关节病变中具有重要的价值,能够为疾病的诊断和治疗提供有用的影像学检查依据。
Objective: To explore the value of X-ray in the diagnosis of sacroiliac joint disease of ankylosing spondylitis. Methods: The subjects of this study were 64 cases of ankylosing spondylitis with sacroiliac joint disease who came to our hospital from April 2016 to April 2017. The X-ray and CT imaging data of the patients were retrospectively analyzed. Compare the value of the two diagnostic methods. Results: The X-ray diagnosis of sacroiliac joint lesions of ankylosing spondylitis was grade 0, grade I, grade II, grade III and grade IV were 8, 9, 27, 10 and 10, respectively. There was no significant difference between the two diagnostic methods in imaging grade (P> 0.05). The CT and X-ray diagnosis of sacroiliac joint lesions were normal, and the detection rates of ankylosis, joint space abnormalities and articular cartilage sclerosis were different There was no statistical significance (P> 0.05). The detection rate of X-ray diagnosis of articular surface obstruction and articular cartilage erosion was significantly higher than that of the control group. The difference between the two groups was statistically significant (P <0.05). Conclusion: X-ray is of great value in the diagnosis of sacroiliac joint disease of ankylosing spondylitis, which can provide useful imaging evidence for the diagnosis and treatment of the disease.