摘要
分析和研究强直性脊柱炎的临床Ｘ线检查诊断方法，Ｘ线分级、分期的表现及在诊断中的重要性。方法：对８０例强直性脊柱炎患者进行Ｘ线摄片分级、分期，结合血沉（ＥＳＲ）、Ｃ－反应蛋白（ＣＲＰ）和ＨＬＡ－Ｂ_２７检查诊断。并进行统计学分析。结果： ９０％患者ＨＬＡ－Ｂ_(２７)阳性， ６０％血沉增快，骶骼关节和髓关节片以Ⅱ级改变为主，腰椎病变以早、中期Ｘ线病变者较多。结论强直性脊柱炎以青壮年男性为多见， ＨＬＡ－Ｂ_(２７)阳性率高和ＥＳＲ增快可作为Ｘ线诊断时的参考条件。Ｘ线摄片是一种简便首选的检查诊断方法，准确可靠。
Objective:To study and analyse the X-ray examination on the diagnosis of ankylosing spondylitis (AS) as well as X-ray manifestation and its importance in staging and grading. Method: To analyse 80 patients with AS in staging and grading of X-ray imaging and take a statistic analysis together with the data of ESR,CRP,and HLA-B_27. Result: HLA-B_27 in 90% of cases were positive, ESR was elevated in 60% of the cases.The major radiological figures of the AS in the hip joints and sacroiliac joints were changes of grade Ⅱ. Most radiological figures in the lumber vertebral column were changes of early and middle stages. Conclusion: AS affects more men than women in their second to third decade of life; X-ray examination is a reliable modality on diagnosis of AS. The high positive rate of HLA-B_27 and elevated ESR can be used as a reference for performing X-ray examination
出处
《新疆医科大学学报》
CAS
2000年第1期56-57,59,共3页
Journal of Xinjiang Medical University
