Bollow M, Loreck D, Braun J, Hamm B
Institut für Röntgendiagnostik, Universitätsklinikum Charité, Humboldt-Universität zu Berlin.
Rofo. 1997 Apr;166(4):275-89. doi: 10.1055/s-2007-1015426.
Because of their curved course and segmental convolution of articular surfaces, the anatomy of the sacroiliac joints is complex. An important part of the diagnosis of sacroiliitis of spondyloarthropathy patients relies on radiographic imaging techniques: x-ray, conventional tomography, computed tomography (CT) and scintigraphy. Diagnosis can be difficult in early and acute stages of sacroiliitis because radiographic findings may be normal, although dynamic magnetic resonance imaging (MRI) of the sacroiliac joints certainly enables to detect chronic as well as acute inflammatory changes. In spondyloarthropathy patients with acute sacroiliitis or acute exacerbation of chronic sacroiliitis who do not respond to or do not tolerate non-steroidal antiinflammatory drugs, CT-guided corticosteroid injection into the sacroiliac joints has proved to be an effective therapy.
由于骶髂关节的走行弯曲且关节面呈节段性回旋，其解剖结构较为复杂。脊柱关节病患者骶髂关节炎诊断的一个重要部分依赖于影像学检查技术：X线、传统体层摄影、计算机断层扫描（CT）和闪烁扫描。骶髂关节炎早期和急性期的诊断可能较为困难，因为影像学表现可能正常，尽管骶髂关节的动态磁共振成像（MRI）确实能够检测出慢性以及急性炎症改变。对于患有急性骶髂关节炎或慢性骶髂关节炎急性加重且对非甾体类抗炎药无反应或不耐受的脊柱关节病患者，CT引导下向骶髂关节注射皮质类固醇已被证明是一种有效的治疗方法。
