發(fā)布時(shí)間：2018-11-10 17:29

【摘要】：目的探討利用DWI ADC值對(duì)AS患者骶髂關(guān)節(jié)炎癥活動(dòng)進(jìn)行量化評(píng)價(jià)的可行性。方法將22例AS患者根據(jù)AS病情活動(dòng)指數(shù)(BASDAI)評(píng)分分為靜止組(4分,n=8)及活動(dòng)組(≥4分,n=14)。另選18名健康志愿者作為正常對(duì)照組。對(duì)3組均行骶髂關(guān)節(jié)MR檢查,獲得各組骶髂關(guān)節(jié)骨性關(guān)節(jié)面下及L5椎體骨髓的ADC值(ADCSIJ值、ADCL5值)及骶髂關(guān)節(jié)的相對(duì)ADC值(rADCSIJ值)。對(duì)靜止組及活動(dòng)組于MR檢查前行C反應(yīng)蛋白(CRP)及血沉(ESR)檢查,并進(jìn)行統(tǒng)計(jì)學(xué)分析。結(jié)果靜止組與正常對(duì)照組間ADCSIJ值、rADCSIJ值差異均無(wú)統(tǒng)計(jì)學(xué)意義(P均0.05)�；顒�(dòng)組與靜止組及正常對(duì)照組間ADCSIJ值、rADCSIJ值差異均有統(tǒng)計(jì)學(xué)意義(P均0.05)。3組間ADCL5值差異均無(wú)統(tǒng)計(jì)學(xué)意義。AS患者ADCSIJ值、rADCSIJ值與臨床BASDAI評(píng)分、ESR及CRP均呈正相關(guān)(P均0.05)。結(jié)論 DWI ADC值有助于臨床輔助診斷活動(dòng)期AS并判斷骶髂關(guān)節(jié)炎癥活動(dòng)程度。
[Abstract]:Objective to investigate the feasibility of quantifying the activity of sacroiliac arthritis in patients with AS by using DWI ADC value. Methods 22 patients with AS were divided into static group (4 points, n = 8) and active group (鈮，

本文編號(hào)：2323103