骶髂关节检查法在强直性脊柱炎诊断中的应用

Application of Physical Examinations of Sacroiliac Joint to Diagnose of Ankylosing Spondylitis

目的:明确临床常用的骶髂关节检查法在强直性脊柱炎诊断中的作用及重要性。方法:对经确诊的70例强直性脊柱炎的骶髂关节临床检查以及影像学和实验室检查结果进行回顾性分析。结果:所有患者的骶髂关节检查均为阳性,其中以"4"字试验和叩击试验的阳性率最高,而骨盆分离和挤压试验次之。早期患者的疼痛量化评分(NRS)明显高于晚期(P<0.05)。结论:骶髂关节检查法在强直性脊柱炎的诊断,特别是早期初步诊断中起着不可替代的重要作用。

To define the function and significance of physical examination of sacroiliac joint for diagnose of AS. Methods： The results of physical examination of sacroiliac joint, imaging findings and laboratory in 70 cases with AS were retrospecively analyzed. Results： The results of physical examination of sacroiliac joint were positive for all patients. Positive rate of tests of Patrick＇s and percussion pain were showing significant difference（P〈0.05）than the distraction and corn pression. In the early stage, NRS of patients was higher than that of patients in late period obviously（P〈0.05）. Conclusion： In the diagnose of ankylosing spondylitis, physical examination of sacroiliac joint plays an important role, especially in early diagnose, and cannot be replaced.