于梅艳;唐莹;刘军莲;张亚男;黄子玮;霍健伟;李忱;孙渤缘;张文;李俊秋;

• 1:首都医科大学附属北京中医医院放射科
• 2:北京中医药大学中医学院
• 3:北京协和医院中医科
• 4:北京协和医学院北京协和医院临床医学部

摘要(Abstract)：

目的评估SAPHO综合征全脊柱病变的MRI表现,探索其影像学规律。材料与方法分析22例SAPHO综合征全脊柱病变MRI图像,对活动性病变和结构性病变及椎旁、椎间隙病变的特征进行评估、统计与分析。结果 SAPHO综合征脊柱受累病变主要在胸段(占脊柱病变的45.4%)(P<0.05),其中活动性病变骨髓水肿(bone marrow edema,BME)和结构性病变脂质沉积最为常见,且均以胸段前侧椎角为主,跳跃分布和对吻分布分别为:BME 53.3%、46.7%,脂质沉积41.3%、58.7%。其他病变包括骨桥(3.9%)、骨质破坏(19.2%)、骨质硬化(3.0%)、椎间隙狭窄(4.3%)、压缩性骨折(3.5%)和椎旁软组织水肿(4.6%)。结论 SAPHO综合征全脊柱病变以胸椎前侧椎角的BME和脂质沉积为主,呈跳跃和对吻分布,具有一定的特征性。

关键词(KeyWords)： SAPHO综合征;脊柱;磁共振成像;病例报道

Abstract:

Keywords:

基金项目(Foundation): 中国医学科学院医学与健康科技创新工程项目(编号：2017-I2M-3-001)~~

作者(Author): 于梅艳;唐莹;刘军莲;张亚男;黄子玮;霍健伟;李忱;孙渤缘;张文;李俊秋;

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DOI:

参考文献(References)：

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