SAPHO综合征全脊柱病变的CT表现

于梅艳; 任蒙蒙; 霍健伟; 刘军莲; 洪月颖; 张亚男; 李忱; 李俊秋

doi:10.15953/j.1004-4140.2021.30.04.11

SAPHO综合征全脊柱病变的CT表现

1. 首都医科大学附属北京中医医院放射科, 北京 100010;
2. 北京协和医院中医科, 北京 100730

基金项目:

北京市属医院科研培育计划（PX2021041）。

详细信息

作者简介:
于梅艳,女,首都医科大学附属北京中医医院主治医师,主要从事影像诊断方面工作,E-mail:yumeiyan27@163.com;李俊秋^*,男,首都医科大学附属北京中医医院副主任医师,主要从事影像诊断工作,E-mail:junqiu29@aliyun.com。

中图分类号: R814
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出版历程
- 收稿日期: 2021-04-27
- 网络出版日期: 2021-09-23

The Whole-spine CT Findings in SAPHO Syndrome

1. Department of Radiology, Beijing Traditional Chinese Medicine Hospital, Capital Medical University, Beijing 100010, China;
2. Department of Traditional Chinese Medicine, Peking Union Medical College Hospital, Beijing 100730, China

摘要

摘要: 目的：研究SAPHO综合征脊柱病变的CT表现特征，并进行定量分析。方法：纳入20例SAPHO综合征年轻患者，行低剂量CT检查，应用2017年强直性脊柱炎CT韧带骨赘评分（CTSS）评估椎体边缘骨赘增生、骨质破坏分布特征以及椎体骨质硬化、骨质硬化伴破坏和许莫氏结节的分布特征，评估椎间隙及椎旁软组织异常。结果：20例患者中18例提示全脊柱CT异常，145个椎体单位受累，以椎体前缘病变2.1%（68/3312）为主，对吻状病变9.9%（82/828）与非对吻状病变7.6%（63/828）在分布上二者之间无统计学差别，1个椎间隙狭窄，椎旁软组织未见异常；诸病变颈椎、胸椎、腰椎分布无统计学差异，总体病变以胸腰段为主；CTSS与病程无相关性。结论：低剂量CT可准确反映SAPHO综合征脊柱病变的胸腰段前缘椎体骨赘形成的特征表现，CTSS无法反映病程。
- SAPHO综合征 /
- 脊柱 /
- 体层摄影术 /
- X线计算机
Abstract: Objective: To study the CT characteristics of spinal lesions in SAPHO syndrome patients,and quantitative analysis was performed. Methods: Twenty young patients with SAPHO syndrome were enrolled and underwent low-dose CT (LDCT) examination. The CT Syndesmophyte Score (CTSS) of ankylosing spondylitis in 2017 was used to evaluate the whole spine. We assessed the clinical data, the distribution characteristics and degree of lesions involved spine. Results: Eighteen patients had spinal lesions on CT. 0ne hundred and forty-five units were involved. The lesions were detected mainly in the posterior corner 2.1% (68/3312), There are no statistical differences in distribution between the affected vertebras with "kissing" appearance 9.9% (82/828) and "non-kissing" appearance 7.6% (63/828). One intervertebral disc space was narrowed. There is no paraspinal soft-tissue involvement. Distribution of lesions in cervical vertebrae, thoracic vertebrae and lumbar vertebrae were no statistical difference (P>0.05). Lesions mainly occurred in thoracic vertebras and lumbar vertebras. There was no association between the CTSS and the course of the disease. Conclusion: lDCT can accurately reflect the characteristic performance of the whole spine lesions of SAPHO syndrome patients. The common sites were the posterior corner of thoracic vertebras and lumbar vertebras, and CTSS could not reflect the course of disease.
- SAPHO syndrome /
- spine /
- tomography /
- X-ray computed

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参考文献(21)

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施引文献(3)

期刊类型引用(3)

1.	陈乃刚，李忱，杨强，尹丹，张媛，魏淑凤，张士朋. CT韧带骨赘评分在SAPHO综合征中的应用. 临床放射学杂志. 2024(01): 116-119 . 百度学术
2.	崔璨，李俊秋，于梅艳，温庆祥. SAPHO综合征的全身骨显像及SPECT/CT影像分析. 分子影像学杂志. 2024(09): 941-945 . 百度学术
3.	谭华清，鲍海华，曹云太，夏弘婧，付诗晗. MRI与CT在SAPHO综合征诊断中的应用分析. 磁共振成像. 2023(11): 108-112 . 百度学术