Chevalley P, Garcia J
Service de Radiologie, Hôpital de la Gruyère, Riaz, Suisse.
J Radiol. 1991 Jan;72(1):1-10.
About 11 cases of various infectious sacroiliitis, the authors discuss the clinical, biological and radiological findings. Acute and subacute infectious sacroiliitis can be associated with another arthritis and are often accompanied by soft tissues lesions. Radiological investigations are very useful for the diagnosis, because of the unspecific clinical and biological findings. Radiography shows advanced osteoarticular remodelling but the subtle lesions are often unapparent. Bone scintigraphy shows a focal hypercaptation but is unspecific. Tomography and CT point out the erosions. With CT, soft tissues lesions are well demonstrated and a diagnostic punction with a fine needle is easily guided. MRI can indicate a bone marrow oedema and her quality for soft tissues lesions is well known; for these reasons, it could become a technic of choice.
关于11例各种感染性骶髂关节炎，作者讨论了其临床、生物学和放射学表现。急性和亚急性感染性骶髂关节炎可能与另一种关节炎相关，且常伴有软组织病变。由于临床和生物学表现不具特异性，放射学检查对诊断非常有用。X线片显示晚期骨关节重塑，但细微病变往往不明显。骨闪烁显像显示局灶性放射性摄取增加，但不具特异性。体层摄影和CT能显示侵蚀。CT能很好地显示软组织病变，且易于引导细针穿刺诊断。MRI可显示骨髓水肿，其对软组织病变的诊断价值众所周知；基于这些原因，它可能成为首选技术。
