强直性脊柱炎92例临床对比分析  

A COMPARATIVE ANALYSIS OF 92 CASES OF ANKYLOSING SPONDYLITIS

作　　者：隋孝忠 于文青 

机构地区：[1]青岛工人温泉疗养院

出　　处：《中医正骨》1997年第6期17-18,共2页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：对比观察了Ａ、Ｂ两组强直性脊柱炎病人各４６例。其中Ａ组病人ＣＩＣ和ＥＳＲ或ＲＦ异常，Ｂ组则均无异常。发现Ａ组病人具有症状重、病情进展快、骶髂关节及脊柱Ｘ线改变明显、致残率高、髋关节受累多、临床疗效差的特点。认为强直性脊柱炎是一种自身免疫性疾病，其临床病情转归与血清异常改变有一定的关系。早期诊治，及时降低ＣＩＣ、ＥＳＲ、ＲＦ，对提高疗效，降低致残率有重要意义。通过对Ａ组女性病人的观察，发现其临床表现、Ｘ线改变等方面与男性并无明显差别。女性病人的骶髂关节Ｘ线改变受分娩影响。orty-six cases of ankylosing spondylitis were divided into two group: group A with abnormal CIC and ESR or RF, and group B with no abnomality. Through comparison and observation of the two groups, it was found that the cases of group A were characterized by severe symptoms, rapid progress of the disease, obvious radiological changes of the spine and sacroiliac joint, high disabled rate, many hip involvements and poor clinical results. It was believed that this disease is an autoimmune disease and its clinical prognosis is definitely related to abnormal changes of serum. Early diagnosis and treatment and prompt reduction of the levels of CIC, ESR and RF are of importance for the therapeuticeffect improvement and disabledrate reduction. No significant difference in clinical and Xray changes and so on was found between the females and males in the observation of the female cases of group A. The radiological changes of female sacroiliac joint are influenced by dilivery. The characteristic changes of sacroiliac joint are still one of the important bases for diagnosing female ankylosing spondylitis.

关 键 词：强直性脊柱炎 症候学 放射照相术 对比研究 

分 类 号：R593.23[医药卫生—内科学]