摘要
目的探讨强直性脊柱炎(ankylosing spondylitis,AS)的临床与影像学表现特点,及研究强直性脊柱炎在性别方面的差异。方法对经临床确诊的45例强直性脊柱炎的临床与影像学表现进行回顾性分析,全部病例均有骶髂关节平片,另外髋关节、膝关节、踝关节片各4例,骶髂关节CT扫描45例。结果在本组病例中,0级患者有0例,Ⅰ级患者有4例,Ⅱ级患者有15例,Ⅲ级患者有20例,Ⅳ级患者有6例;累及骶髂关节的,男性32例,女性11例;累及髋关节的,男性18例,女性4例;累及腰椎的,男性30例,女性13例;累及外周关节的,男性12例,女性10例。AS侵犯脊柱时影像学表现为椎体呈方形,椎旁韧带骨化,脊柱呈"竹节状";AS侵犯外周关节表现为关节间隙变窄,纤维强直或骨性强直。女性患者具有症状轻、病情发展慢、致残率低、髋关节受累轻而周围小关节受累重的特点。结论影像学检查对于诊断各期的强直性脊柱炎都有肯定的意义,而且强直性脊柱炎在发病率﹑发病位置﹑累及部位以及致残率等方面在性别中存在明显的差异性。
Objective To discuss the clinical and imaging characteritics of ankylosing spondylitis (AS), analyze the imaging features, and study the similarities and differences of men and women with ankylosing spondylitis. Methods 45 cases of anklosing spondylitis which were confirmed by clincial diagnosis were retrospectively analyzed, and the clinical and imaging features were studied (including sacroiliac joint X ray in all 38 cases, hip joint X ray in 4 cases, knee joint X ray in 4 cases, ankle joint X ray in 4 cases, and all CT scan in 38 cases). Results In this group of case of illness, 0 level of patients had 0 case, Ⅰ level patients had 4 cases,Ⅱ level patients has 15 cases, Ⅲ level patients had 20 cases, 1V level patients had 6 cases; Implicating the shinbone qia joint, male 32 cases, feminine 11 cases; Implicating the coxa, male 18 cases, female 4 cases; Implicating the lumbar vertebra, male 30 cases, female 13 cases; Implicating the circumference joint, male 12 cases, female 10 cases. When ankylosing spondylitis violated spinal column, the imaging performance of the vertebral body was square-shaped, vertebral ligament was ossified, spinal column was "bamboob-like"; When nkylosing spondylitis violated peripheral joint, the imaging performance showed strictness for the joint gap, fibrous ankylosis or bony ankylosis. Female patients had the characteristics such as mild symptom, slow progression of the disease, low disability rate, light hip involvement but heavy involvement of smallperipheral joints. Conclusions Imaging examination has been confirmed to have positive significance in diagnosis of all periods of ankylosing spondylitis. Ankylosing spondylitis has obvious difference in incidence rate, disease location, involved parts and disability rate between male and female.
出处
《临床医学工程》
2012年第11期1866-1868,共3页
Clinical Medicine & Engineering
关键词
强直性脊柱炎
影像表现
对比研究
Ankylosing spondylitis
Imaging findings
Comparative study