强直性脊柱炎的临床与X线诊断  

Clinics and X-ray Diagnosis of Ankylosing Spondylitis

作　　者：强军[1] 周志宏 高万勤[1] 傅建斌[1] 

机构地区：[1]河南科技大学第一附属医院,河南洛阳471003 [2]洛阳市铜加工厂医院,河南洛阳471003

出　　处：《河南科技大学学报（医学版）》2006年第2期133-135,共3页Journal of Henan University of Science & Technology:Medical Science

摘　　要：目的探讨强直性脊柱炎的临床与X线平片特点,提高对其X线表现的认识。方法对经临床确诊的156例强直性脊柱炎的临床与X线平片表现进行回顾性分析。结果X线检查显示所有患者均有不同程度的骶髂关节炎,其中I级12例,II级30例,III级78例,IV级36例。脊柱异常表现为竹节状脊柱者31例,其他异常表现者82例。髋关节异常者41例。附着点病30例。结论X线检查可以发现绝大多数的强直性脊柱炎患者,尤其是中晚期患者。中轴关节受侵犯为其主要特点,髋关节损害及附着点病均为其特点之一且具有一定特征性。Objective To explore the characteristics of the clinic and X-ray diagnosis of ankylosing spondylitis and improve the understanding of the X-ray features. Methods The clinical data and X-ray features of 156 cases with ankylosing spondylifis were analyzed retrospectively. Results Sacroiliitis were found in all cases. Among all patients, sacroiliitis of grade 1 was found in 12 cases, sacroiliitis of grade 2 found in 30, sacroiliitis of grade 3 in 78, sacroiliitis of grade 4 in 36. Spine abnormality like bamboo was found in 31 cases, and other abnormalities found in 82. Hip joint lesion was found in 41 cases. Enthesopathy was found in 30 cases. Conclusion Majority of ankylosing spondylitis especially of middle-oradvanced stages alteration can be displayed through X-ray. The corejoint invasion is the main points of ankylosing spendylitis. The other features are hip joint lesion and enthesopathy which have unique characteristics.

关 键 词：强直性脊柱炎 骶髂关节 髋关节 附着点病 X线分析 

分 类 号：R593.23[医药卫生—内科学]