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目的分析早期强直性脊柱炎(AS)的超声特点,提高超声及临床诊断水平。方法对280例早期强直性脊柱炎患者的骶髂关节采用高频探头进行超声检查。结果 280例早期强直性脊柱炎中,男212例,女68例,平均发病年龄32岁。首发症状为慢性腰痛者242例占86.4%;其他表现如虹膜炎52例占18.5%;骨盆正位片有骶髂关节炎占98.8%;HLA-B27阳性266例占95.0%;59例误诊占21.0%结论彩色多普勒超声在早期强直性脊柱炎中具有较高的诊断价值,应用彩色多普勒超声对强直性脊柱炎的骶髂关节血流检查,并结合实验室HLA-B27阳性有助于AS的早期诊断。
Objective To analyze the characteristics of ultrasound in early ankylosing spondylitis (AS) and improve the level of ultrasound and clinical diagnosis. Methods 280 cases of ankylosing spondylitis in patients with sacroiliac joint using high-frequency ultrasound probe. Results 280 cases of ankylosing spondylitis, male 212 cases, female 68 cases, the average age of onset was 32 years old. The first symptom was chronic low back pain in 242 cases accounted for 86.4%; other performance such as iritis 52 cases accounted for 18.5%; pelvic anterior film sacroiliac arthritis accounted for 98.8%; HLA-B27 positive 266 cases accounted for 95.0%; 59 cases misdiagnosed 21.0% Conclusion Color Doppler ultrasound has high diagnostic value in early ankylosing spondylitis. Color Doppler ultrasound examination of sacroiliac joint blood flow in ankylosing spondylitis, combined with laboratory HLA-B27 positive Aids in the early diagnosis of AS