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| 肌骨超声与多模态影像在强直性脊柱炎诊断中的对比研究 |
| 边钰,高维,邹卫娟,郑祎婧,陈莉,王芮,魏聪,陈捷,姜立新,郑元义 |
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| (上海交通大学附属第六人民医院超声科;重庆医科大学附属第二医院超声科) |
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| 摘要: |
| 目的 分析比较肌骨超声、X线、CT、磁共振（MRI）及实验室检测指标对强直性脊柱炎（AS）的诊断效能，探讨肌骨超声诊断AS的临床应用价值。方法 选取我院2017年2月-2020年12月于门诊和住院拟诊为AS的患者82例，均行过肌骨超声、X线、CT、MRI、血清超敏C反应蛋白和血沉检查，根据人类白细胞抗原（HLA-B27）检测结果，分为阳性（病例组）和阴性（对照组），分析并比较肌骨超声与上述其他检查方式在AS临床诊断中的效能。结果 82例患者中，经HLA-B27结果分为病例组69例，对照组13例；超声、X线、CT、MRI对诊断AS有统计学意义（P＜0.05）；超声与X线、CT、MRI对AS的检出率比较差异均无统计学意义（P ＞0.05）。超声与MRI在诊断AS处于炎症期的检出率比较差异无统计学意义（P ＞0.05）。超声与实验室炎症指标在判断骶髂关节炎症情况方面比较差异无统计学意义（P ＞0.05）。结论 肌骨超声可以作为诊断AS的重要影像学手段，特别是在AS炎症期，超声检出率可以媲美MRI。关键词 肌骨超声；CT；MRI；X线；强直性脊柱炎 |
| 关键词: 肌骨超声 强直性脊柱炎 CT MRI X线 |
| DOI： |
| 投稿时间：2021-02-19修订日期：2021-06-29 |
| 基金项目:科技部数字诊疗重点专项(2018YFC0115200) ；国家自然科学基金重点项目(82030050), |
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| Retrospective Cohort Study on the Effect Of Musculoskeletal Ultrasonography and Multimodality Imaging in the Diagnosis Of Ankylosing Spondylitis |
| Bian Yu,Gao Wei,Zou Weijuan,Zheng Yijing,Chen Li,Wang Rui,Wei Cong,Chen Jie,Jiang Lixin,Zheng Yuanyi |
| (Department of Ultrasound, the Sixth People''s Hospital Affiliated to Shanghai Jiao Tong University) |
| Abstract: |
| Objective To analyze and compare the diagnostic efficacy of musculoskeletal ultrasound, X-ray, CT, magnetic resonance (MRI) and laboratory test indexes in the diagnosis of ankylosing spondylitis (AS), and to explore the clinical application value of musculoskeletal ultrasound in the diagnosis of AS..Methods A total of 82 patients with AS in our hospital from February 2017 to December 2020 were selected. All patients underwent musculo-skeletal ultrasound, X-ray, CT, MRI, serum hypersensitive C-reactive protein and erythrocytes sedimentation rate examinations. According to the results of human leukocyte antigen (HLA-B27), they were divided into positive group (case group) and negative group (control group). To analyze and compare the efficacy of musculoskeletal ultrasound and other examination methods in the clinical diagnosis of AS.Results The 82 patients were divided into case group (n = 69) and control group (n = 13) according to HLA-B27 results. Ultrasound, X-ray, CT and MRI had statistical significance in the diagnosis of AS (P < 0.05). There was no significant difference in the detection rate of AS between ultrasound, X-ray, CT and MRI (P > 0.05). There was no significant difference in the detection rate between ultrasound and MRI in the diagnosis of AS in the inflammatory stage (P > 0.05). There was no statistical significance between ultrasound and laboratory inflammatory indicators in the diagnosis of sacroiliac joint inflammation (P > 0.05).
.Conclusion Musculoskeletal ultrasound can be used AS an important imaging method for the diagnosis of AS, especially in the inflammatory stage of AS, and the detection rate of ultrasound is comparable to that of MRI. |
| Key words: musculoskeletal ultrasound Ankylosing spondylitis Computed tomography (CT) Magnetic resonance imaging (MRI) X-ray |
