赵爽

摘要：目的 研究强直性脊柱炎早期骶髂关节炎应用磁共振成像诊断的应用价值。方法 选取42例本院在2018年1月-2020年9月期间诊治的强直性脊柱炎早期骶髂关节炎患者作为对象，并将其进行回顾性分析，所有患者均应用磁共振成像检查，与手术病理结果进行对比。结果 手术病理检查结果、骶髂关节炎分级与磁共振成像检查结果对比，无统计学意义（p﹥0.05），检查灵敏度以及特异度较高，ADC指标值升高。结论 磁共振成像在强直性脊柱炎早期骶髂关节炎诊断中应用价值较高，在实际检查中，辅助检查意义显著，可进行推广。

关键词：强直性脊柱炎;早期骶髂关节炎;磁共振成像;应用价值

[Abstract]Objective To study the application value of MRI in the diagnosis of early sacroiliac arthritis in ankylosing spondylitis. Methods 42 patients with early sacroiliac arthritis of ankylosing spondylitis treated in our hospital from January 2018 to September 2020 were selected as the objects，and their clinical data were retrospectively analyzed. All patients were examined with magnetic resonance imaging and compared with the results of surgical pathology. Results there was no statistical significance between the results of surgical pathology，sacroiliac arthritis grading and MRI（P > 0.05）. The sensitivity and specificity of the examination were higher，and the ADC index value was higher. Conclusion MRI in the diagnosis of ankylosing spondylitis early sacroiliac arthritis application value is higher，in the actual examination，auxiliary examination significance is significant，can be promoted.

[Key words]ankylosing spondylitis;Early sacroiliac arthritis;Magnetic resonance imaging;Application value

強直性脊柱炎属于临床常见病，其中年轻人发病率比较高，导致该疾病出现的原因与遗传、后天生活习惯等因素有关，在研究中发现[1]，很多强直性脊柱炎患者出现骶髂关节病变，增加致残率，对患者的生活质量造成负面伤害，对于该疾病来说早诊断早治疗非常重要，有利于改善患者的预后等情况，具有的意义非常明显。该疾病在早期特异性不高，增加诊断的难度，在检查中，出现漏诊和误诊的情况较多，影响到疾病的治疗[2]。随着诊断技术的不断发展，磁共振成像在检查中，应用范围越来越广，其中CT、MRI等在检查中应用比较广泛，在检查之后，能获取到病灶部位的相关信息，为诊断和治疗等工作的进行创造条件。本试验主要分析的是磁共振成像检查诊断强直性脊柱炎早期骶髂关节炎的效果。……