摘要
本文研究了112例强直性脊柱炎(AS)患者骶髂关节X线改变的特点及其与临床表现和血清免疫学指标的关系。结果表明,骶髂关节病变起始于关节面下2/3的梨体部,早期病例中62.9％为髂骨侧受累明显,骶髂关节病变严重者腰部活动受限、髋关节受累及肺纤维化发生率增加(P均<0.05)。IgA增高与严重骶髂关节病变有关。本文认为,骶髂关节X线片对AS的早期诊断及病情估计有重要意义。
The selationship between radiologic changes of the sacroiliac joints with clinical menifestations and serum immunologic parameters was studied in 112 patients with ankylosing spondylitis(AS), The results demonstrated that inital changes of sacroiliac joints occur in the lower 2/3 of the articular surface and predominant involvement of the ilial side of the joints was seen at 62.9％ of the patients with early AS. Restriction of lumbar activity, involovement of the hip and pulmonary fibrosis increased With progression of radiologic changes in the sacroiliac joints (P<0.01). Elevation of serum IgA was statistically related to serious radiologic changes of sacroiliac joints, It is suggested that radiograph of sacroiliac joints is of important significance in early diagnosis and prognostic evaluation of AS.
出处
《北京医学》
CAS
北大核心
1991年第6期336-338,共3页
Beijing Medical Journal
