磁共振成像联合放射影像学检查诊断早期强直性脊柱炎患者骶髂关节病变的效能
Journal: Frontier Forum of Clinical Medicine DOI: 10.32629/ffcr.v4i1.19908
Abstract
目的：探究磁共振成像（Magnetic Resonance Imaging，MRI）联合放射影像学检查诊断早期强直性脊柱炎患者骶髂关节病变的效能。方法：选择2020年1月份至2025年12月份于我院就医的60例患者进行研究，所有患者均提供MRI、CT以及X线检查，分析不同结果的差异。结果：MRI对骶髂关节病变的总检出率高于CT和X线，p<0.05，在显示骨髓水肿、关节软骨异常、关节面下脂肪沉积等早期活动性病变上MRI的阳性率明显高于CT和X线，p<0.05，联合诊断的效率高于单一检查，p<0.05。结论：MRI可以清晰地显示早期强直性脊柱炎骶髂关节的活动性炎性病变，作为早期诊断的首选方案，联合检查可提升诊断效能，以为病情评估提供依据。
Keywords
磁共振成像（MRI）；影像学检查；早期强直性脊柱炎；骶髂关节病变；效能
Full Text
PDF - Viewed/Downloaded: 0 TimesReferences
[1] 李会学,王深荣,赵立辉,等.低场MRI在强直性脊柱炎患者骶髂关节病变诊断中的应用及价值[J].河北医药,2020,42(19):2987-2989.
[2] 张立斯,程薇,左玉江,等.改良骶髂关节MRI扫描技术对强直性脊柱炎患者骶髂关节病变与关节损伤程度评估价值研究[J].影像技术,2024,36(1):9-13.
[3] 敖建辉,高军峰,阎晓宇.CT检查与MRI检查在强直性脊柱炎患者骶髂关节病变诊断中的效能比较[J].中国民康医学,2021,33(17):84-85.
[4] Basem I ,Sven F ,Tarush R , et al.Rates of early complications and mortality in patients older than 80 years of age after surgical treatment of acute traumatic spinal fractures: ankylosing spondylitis versus osteoporosis.[J].Neurosurgical focus,2021,51(4):E4-E4.
[5] 谢凡.强直性脊柱炎骶髂关节病变应用MRI与CT诊断效果分析[J].中文科技期刊数据库(引文版)医药卫生,2025(5):013-016.
[6] Canayaz E ,Altikardes A Z ,Unsal A , et al.Development and validation of machine learning algorithms for early detection of ankylosing spondylitis using magnetic resonance images.[J].Technology and health care : official journal of the European Society for Engineering and Medicine,2025,33(3):1182-1198.
[7] Hui Y ,Ling J ,Jiang L , et al.Quantitative DCE-MRI: an efficient diagnostic technique for evaluating early micro-environment permeability changes in ankylosing spondylitis[J].BMC Musculoskeletal Disorders,2020,21(1):774-774.
[8] 于静红,孙瑞芬,翟伟星,等.强直性脊柱炎中轴骨病变的影像特征分析[J].国际医学放射学杂志,2024,47(5):519-526.
[9] 张华燕,吴玉寒.骶髂关节MRI评估rhTNFR:Fc治疗强直性脊柱炎的临床疗效及指导剂量优化方案[J].医学前沿,2024(16):90-91.
[2] 张立斯,程薇,左玉江,等.改良骶髂关节MRI扫描技术对强直性脊柱炎患者骶髂关节病变与关节损伤程度评估价值研究[J].影像技术,2024,36(1):9-13.
[3] 敖建辉,高军峰,阎晓宇.CT检查与MRI检查在强直性脊柱炎患者骶髂关节病变诊断中的效能比较[J].中国民康医学,2021,33(17):84-85.
[4] Basem I ,Sven F ,Tarush R , et al.Rates of early complications and mortality in patients older than 80 years of age after surgical treatment of acute traumatic spinal fractures: ankylosing spondylitis versus osteoporosis.[J].Neurosurgical focus,2021,51(4):E4-E4.
[5] 谢凡.强直性脊柱炎骶髂关节病变应用MRI与CT诊断效果分析[J].中文科技期刊数据库(引文版)医药卫生,2025(5):013-016.
[6] Canayaz E ,Altikardes A Z ,Unsal A , et al.Development and validation of machine learning algorithms for early detection of ankylosing spondylitis using magnetic resonance images.[J].Technology and health care : official journal of the European Society for Engineering and Medicine,2025,33(3):1182-1198.
[7] Hui Y ,Ling J ,Jiang L , et al.Quantitative DCE-MRI: an efficient diagnostic technique for evaluating early micro-environment permeability changes in ankylosing spondylitis[J].BMC Musculoskeletal Disorders,2020,21(1):774-774.
[8] 于静红,孙瑞芬,翟伟星,等.强直性脊柱炎中轴骨病变的影像特征分析[J].国际医学放射学杂志,2024,47(5):519-526.
[9] 张华燕,吴玉寒.骶髂关节MRI评估rhTNFR:Fc治疗强直性脊柱炎的临床疗效及指导剂量优化方案[J].医学前沿,2024(16):90-91.
Copyright © 2026 张娜
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License