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强直性脊柱炎的诊断与治疗进展

Progress on diagnosis and treatment of ankylosing spondylitis

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【作者】 刘越赵艳梅夏群

【Author】 LIU Yue;ZHAO Yan-mei;XIA Qun;Department of Spinal Surgery,Tianjin Hospital;

【机构】 天津市天津医院脊柱二科武警后勤学院防护医学教研室

【摘要】 强直性脊柱炎(ankylosing spondylitis,AS)是一种慢性进行性疾病,炎症性腰背痛和腰背部僵硬在疾病早期常见。随着疾病的进展,晚期可造成腰、背、颈、臀、髋部疼痛以及关节肿痛,严重者甚至发生脊柱畸形和关节强直。AS在我国患病率初步调查为0.3%左右。发病年龄通常在13~31岁,高峰为20~30岁。现代医学对其治疗没有切实有效的治愈方案,早诊断、早治疗可控制疾病恶化进展及防止畸形的产生。本文从AS的发病原因、国际上对AS诊断标准的演变、影像学诊断以及治疗等方面的进展情况进行综述。

【Abstract】 Ankylosing spondylitis( AS) is a chronic progressive disease. Inflammatory back pain and lower back stiffness commonly occur in the early stage of the disease. As progress,AS can cause waist,back,neck,hip,hip pain and joint pain,even spinal deformity and ankylosis in severe cases. Its prevalence rate in our country is about 0. 3%. Age of onset in AS is usually at 13 to 31 years old,peak of 20 to 30 years old. At present,there is no effective treatment for AS. Early diagnosis and treatment can control aggression of this disease and prevent deformity. This paper summary the latest progress on etiology,diagnostic criteria,imaging diagnosis and treatment of AS in recent years.

【关键词】 强直性脊柱炎诊断治疗预后
【Key words】 ankylosing spondylitisdiagnosistreatmentprognosis
  • 【文献出处】 中国矫形外科杂志 ,Orthopedic Journal of China , 编辑部邮箱 ,2015年03期
  • 【分类号】R593.23
  • 【被引频次】158
  • 【下载频次】4729
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