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目的:分析比较X光片及CT检查在强直性脊柱炎骶髂关节病变诊断中的应用结果。方法:选取我院2010年2月~2013年2月收治的30例强直性脊柱炎骶髂关节病变患者的临床资料进行回顾性分析,比较X线与CT的检查结果。结果:CT检查的早期检出率明显高于X线检出率,对于关节面狭窄、侵蚀及僵直等局部病变的检出率高于X线检查,数据比较差异显著,有统计学意义(P<0.05)。结论:CT扫描的检出率高,准确率高,有比X线片更加明显的检查优势,可以作为强直性脊柱炎骶髂关节病变检查的首选方法。
OBJECTIVE: To analyze and compare the application of X-ray and CT in the diagnosis of sacroiliac joint disease of ankylosing spondylitis. Methods: The clinical data of 30 patients with sacroiliac joint disease of ankylosing spondylitis admitted in our hospital from February 2010 to February 2013 were retrospectively analyzed. The results of X-ray and CT were compared. Results: The early detection rate of CT examination was significantly higher than that of X-ray examination. The detection rate of local lesion such as stenosis, erosion and rigidity was higher than that of X-ray examination, the data showed significant difference (P <0.05). Conclusion: The detection rate of CT scan is high, and the accuracy is high. It has more obvious advantages over X-ray films and can be used as the preferred method of sacroiliac joint disease examination in ankylosing spondylitis.