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目的分析强直性脊柱炎患者的骶髂关节的各级CT表现与临床及病理变化之间的相关性,以提高该病诊断的准确性。方法采用CT扫描骶髂关节症状的强直性脊柱炎患者40例对照分析。结果 38例双侧骶髂关节受累,2例单侧骶髂关节受累。无0级;Ⅰ级5例,占12.5%;Ⅱ级9例,占22.5%;Ⅲ级14例,占35%;Ⅳ级12例,占30%。结论 CT能够准确地反映骶髂关节病变不同阶段表现,为临床分期提供客观依据,进而有利于的临床治疗。
Objective To analyze the correlation between CT manifestations and clinical and pathological changes of sacroiliac joint in patients with ankylosing spondylitis so as to improve the diagnostic accuracy of the disease. Methods 40 cases of patients with ankylosing spondylitis undergoing CT scan of sacroiliac joint were analyzed. Results 38 cases of bilateral sacroiliac involvement, 2 cases of unilateral sacroiliac involvement. Grade 0 in 5 cases, accounting for 12.5%; Grade Ⅱ in 9 cases, accounting for 22.5%; Grade Ⅲ in 14 cases, accounting for 35%; Grade Ⅳ in 12 cases, accounting for 30%. Conclusion CT can accurately reflect the different stages of sacroiliac joint disease performance, provide an objective basis for clinical staging, and thus conducive to clinical treatment.