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1、医学影像学杂志2009年第19卷第1期JMedImagingVol.19No.12009强直性脊柱炎的影像学诊断及护理朱珑,钱金燕(山东大学附属省立医院山东济南250021)【摘要】目的:探讨强直性脊柱炎的影像学表现,提高影像学对强直性脊柱炎的诊断价值及强直性脊柱炎患者的护理质量。方法:回顾性分析临床确诊的90例强直性脊柱炎的影像学资料,总结其影像学表现及护理。结果:强直性脊柱炎X线影像学表现为骶髂关节间隙正常、关节变毛糙、模糊、硬化、关节融合,病情进一步发展,关节软骨和关节面破坏,关节间隙不规则,晚期出现关节间隙完全消失;CT征象为骶髂关节毛糙、模糊、受侵蚀出现率最高,其他如关节硬化、关节间
2、隙变窄、关节融合,髋关节受损等;MRI显示骨突关节滑膜炎,关节间隙模糊,骨突骨髓水肿,增强后可见强化表现,棘突韧带水肿,棘突骨髓亦可见水肿表现。通过对强直性脊柱炎早期护理,延缓或减少了畸形的发生。结论:强直性脊柱炎X线早期主要表现骶髂关节骨质侵蚀、破坏、囊变、骨质硬化是强直性脊柱炎的早期征象;CT检查对病变细节显示更清楚,对早期病变更具敏感性,CT对早期骶髂关节病变显示明显优于X线摄影,对疗效观察更为有利;MRI能显示强直性脊柱炎骶髂关节早期病理改变。CT和MRI为强直性脊柱炎早期诊断及护理提供重要帮助。【关键词】强直性脊柱炎;骶髂关节改变;影像学表现;护理中图分类号:R681;R445文献标
3、识码:A文章编号:1006-9011(2009)01-0084-03ImagingcharacteristicsandnursingcareofpatientswithankylosingspondylitisZHULong,QIANJin-yanShandongProvincialHospital,Jinan250021,P.R.China【Abstract】Objective:ToinvestigatethecharacteristicsonX-ray,CT,andMRIofpatientswithankylosingspondylitis(AS),soastoimprovethediag
4、nosticvalueofimagingandthenursingcarequalityofASpatients.Methods:TheimagingdataofninetypatientswithASwereretrospectivelyanalyzed,withspecialattentiongiventotheimagingmanifestationsaswellasthenursingcareofthesepatients.Re-sults:Inearlystage,thecharacteristicofASonX-rayplainfilmpresentedwithnormalsacr
5、oiliacjiontspace,buttheerosion,cysticle-sionofboneorsclerosisaroundthejoint;inlaterstage,thejiontspacemightentirelydisappear.ThefeatureofASonCTwasbasicalsimilartothatonX-rayastotheimages,but,thelatterwasmoreimperceptible.WithrespecttoMRI,muchmorevaluabletraitscouldbedisplayedforthediagnosisofAS.Impo
6、rtantly,thenursingcareplayedrolesindel4ayingtheprogressionandreducingdisfiguresofdis-ease.Conclusion:AShasitsowncharacteristicsonthethreeimagingmodalities.Theemploymentoftheapproachesaloneorcombinationmayoffergreatbenefittotheprecisediagnosis,treatmentand,particularlytheguidancefornursingcarepractic
7、e.【Keywords】Ankylosing;Imaging;CT;MRI;Nursingcare强直性脊柱炎(ankylosingspondylitis,AS)是一种病情的发展,胸阔活动消失,逐渐出现胸腰椎后凸的[1]以骶髂关节和脊柱慢性炎症为主的全身性疾病。典型驼背畸形;因活动减少,骨质疏松,易发生骨[2]AS发病在性别上有明显差异,以男性多发,国内男折。由于AS诊断标准均必须具备肯定的影像学
