颈腰痛杂志
頸腰痛雜誌
경요통잡지
2014年
3期
202-204
,共3页
SPA%HLA-B27%强直性脊柱炎(AS)
SPA%HLA-B27%彊直性脊柱炎(AS)
SPA%HLA-B27%강직성척주염(AS)
SPA%HLA-B27%ankylosing spondylitis
目的：探讨双阴性血清阴性脊柱关节病（Both Negative-Seronegtive Spondyloarthro Pathies BNSPA）的门诊诊治。方法20例具有SPA症状的患者HLA-B27检测全部报告阴性，骶髂关节影像学报告全部阴性，均按SPA的诊治思路做进一步检查治疗。结果经抗SPA治疗后，症状全部得以明显控制，无一例出现典型的骶髂关节影像学变化。结论国民体质的提高，早期抗SPA的干预是HLA-B27阴性频率较高的一个重要因素，而骶髂关节炎影像学的误判也是SIJ阳性率不高的一个重要原因。根据临床征象以BNSPA诊治，取得良好效果。
目的：探討雙陰性血清陰性脊柱關節病（Both Negative-Seronegtive Spondyloarthro Pathies BNSPA）的門診診治。方法20例具有SPA癥狀的患者HLA-B27檢測全部報告陰性，骶髂關節影像學報告全部陰性，均按SPA的診治思路做進一步檢查治療。結果經抗SPA治療後，癥狀全部得以明顯控製，無一例齣現典型的骶髂關節影像學變化。結論國民體質的提高，早期抗SPA的榦預是HLA-B27陰性頻率較高的一箇重要因素，而骶髂關節炎影像學的誤判也是SIJ暘性率不高的一箇重要原因。根據臨床徵象以BNSPA診治，取得良好效果。
목적：탐토쌍음성혈청음성척주관절병（Both Negative-Seronegtive Spondyloarthro Pathies BNSPA）적문진진치。방법20례구유SPA증상적환자HLA-B27검측전부보고음성，저가관절영상학보고전부음성，균안SPA적진치사로주진일보검사치료。결과경항SPA치료후，증상전부득이명현공제，무일례출현전형적저가관절영상학변화。결론국민체질적제고，조기항SPA적간예시HLA-B27음성빈솔교고적일개중요인소，이저가관절염영상학적오판야시SIJ양성솔불고적일개중요원인。근거림상정상이BNSPA진치，취득량호효과。
Objective To explore the diagnosis and treatment of outpatients of both negative-seronegative spondyloarthropathy ( BNSPA ). Methods 20 patients who had the symptoms of SPA with negative test report of HLA-B27 and sacroiliac joint imaging,received the further examination and treatment as SPA. Results After anti-SPA treatment,all the patients' symptoms were signifi-cantly controlled,no typical imaging changes of sacroiliac joint appeared. Conclusion The early in-tervention against SPA is an important reason of negative HLA-B27,and the misjudgment of sacroil-iac joint imaging can cause negative HLA-B27 too. Treatment based on clinical manifestations of BNSPA achieved good results.
