强直性脊柱炎的早期诊断策略及其治疗决策  

The early diagnosis strategies and treatment decision-to be made in the ankylosing spondylitis

作　　者：陈睿[1] 宋恒平[1] 倪凤民[1] 

机构地区：[1]解放军第123医院骨2科,安徽蚌埠233015

出　　处：《颈腰痛杂志》2012年第4期288-290,共3页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的探讨强直性脊柱炎的早期诊断策略及其治疗决策。方法长时间记录一组(32例)强直性脊柱炎门诊患者的治疗效果。结果随访2～20年,3例确诊2年后出现两髋关节症状,影像学示两髋关节轻度狭窄,1例20年后两骶髂关节近乎融合,其他患者病情始终平稳。结论强直性脊柱炎的治疗重在早期发现,及时治疗,长期追踪,合理用药,否则将导致脊柱"竹节样"骨化、髋关节残疾等严重晚期症状。Objective To investigate the early diagnosis strategies and treatment decision-to be made in the ankylosing spondylitis. Methods Record treatment results of 32 cases ankyl0sing spondylitis outpatients for a long time. Results Following-up 2-20 years, three cases had the symptoms of hip joints after two years,and hip joints mild stenosis. 1 case almost had sacroiliac joints fused after 20 years. The complications of other cases were not found. Conclusion Ankylos- ing spondylitis treatment focuses on early detection,timely treatment,and long-term tracking,rational drug use,otherwise will lead to serious late symptoms of the spine ＂bamboo-like＇ossification and hip joints disability.

关 键 词：强直性脊柱炎 诊断 早期 治疗 

分 类 号：R593.23[医药卫生—内科学]