摘要
目的探讨女性强直性脊柱炎的诊断特点。方法回顾性分析我院1999年1月-2009年1月诊治的93例女性强直性脊柱炎和191例男性强直性脊柱炎患者并进行临床特点比较。结果93例患者平均年龄35.05岁,平均病程7.48年,有生育史者68例(73.12%),HLA-B27阳性者59例(63.40%),主要临床特征以臀部、耻骨部、足跟部疼痛为主;影像学检查,单侧Ⅰ级39例,双侧Ⅰ级25例,单侧Ⅱ级15例,双侧Ⅱ级8例、Ⅲ级7例。结论女性强直性脊柱炎临床特点是病程长、症状轻,以外周关节疼痛为主,缺乏典型的影像学表现,致残率低,生育后病情可能加重。
Objective To study the diagnostic characteristics of ankylosing spondylitis in female patients.Methods Clinical characteristics of 93 female and 191 male patients with ankylosing spondylitis,admitted to our department form January 1999 to January 2009,were retrospectively analyzed.Results The average age of the 93 female ankylosing spondylitis patients was 35.05 years and the course of disease was 7.48 years.Of the 93 patients,68（73.12%） had a delivery history and 59（63.40%） were positive for HLA-B27.The chief complaint was pain in hip,pubis and heel.CT or X-ray showed grade 1 unilateral and bilateral ankylosing spondylitis in 39 and 25 patients respectively,grade 2 unilateral and bilateral ankylosing spondylitis in 15 and 8 patients respectively,grade 3 bilateral ankylosing spondylitis in 7 patients,and no grade 4 ankylosing spondylitis in any patients.Conclusion The clinical characteristics of female ankylosing spondylitis patients include a long disease course and mild symptoms mainly manifested as peripheral joint pain with no typical imaging findings and a low disability.The symptoms may exacerbate after delivery.
出处
《军医进修学院学报》
CAS
2010年第5期418-419,共2页
Academic Journal of Pla Postgraduate Medical School
基金
兰州军区卫生部科研基金资助(LXH-2006018)
关键词
强直性脊柱炎
妇女
诊断
Ankylosing Spondylitis
Women
Diagnosis
