45例女性强直性脊椎炎临床特点分析

An Analysis of Clinical Characteristics of 45 Women with Ankylosing Spondylitis

90例强直性脊椎炎(AS)患者,女45例,男45例,配对进行对比分析.结果:在病程相同的情况下,女性单纯脊椎受累多于男性,侵犯颈椎和周围关节的发生率低于男性,血沉检查以30mm/n为升高值,则女性亦显著少于男性.女性X线变化也以早期X线征多见,而男性却以晚期征为主.提供了早期发现女性AS患者的参考依据.

A comparison of 45 men and 45 women with ankylosing spondylitis was conducted in this article. It was found that ; (1) the percentage of women who were only with involvement of spine than that of men, while the rate of involvement of cervical vertebrae and peripheral joints in women was significantly low-er than that in men; (2) the number of women with a ESR value of 30 mm/h or more was less than that of men ; (3)the radiological changes in spine and peripheral joints of women were slighter than that of men. The clinical significance of the above findings was discussed.