The Analysis of Clinical Features,Laboratory Examination andSacroiliac Joint CT Signs of Ankylosing Spondylitis
- VernacularTitle:强直性脊柱炎的临床、实验室检查特点和骶髂关节CT表现分析
- Author:
Wenchang YU
;
Renfa WAN
- Publication Type:Journal Article
- Keywords:
ankylosing spondylitis;
sacroiliac jont;
tomography,X-ray computed
- From:
Journal of Practical Radiology
2001;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyzed the clinical features,laboratory examination and sacroiliac joint CT signs of ankylosing spondylitis.Methods Of all 22 cases,20 were male,2 were female,the age ranges from 14 to 70 with average of 27.9.All patients accepted spiral CT axial scan of sacoiliac joint,their prominent clinical features and laboratory examination were registered.Results Hip pain,waist pain and lmitation of stoop were outstanding clinical features,their proportions were 63.3%,40.9%,31.8% respectively.Laboratory exanination:positive rates of HLA-B 27 and RF were respectively 100%,27.2%.Percentages of ESR speeding and CRP increasing were respectively 90.9%,31.8%.Among all CT signs,coarseness,dimness and erosion of SI joint had the highest percentage(68.1%).Others,such as osteosclerosis was in 50%,joint narrowing was in 36.3%,joint union was in 9.1%.Conclusion In patients with ankylosing spondyeitis, hip pain is common clinical feature.Positive HLA-B 27 ,mcreasing of ESR and CRP are valuable for diagnosis.SI joint CT examination often demonstrates joint coraseness,dimness and erosion.
