干旱区生态环境知识资源中心(Arid): 早期骶髂关节炎和致密性髂骨炎的鉴别(附33例临床分析)

Arid

	早期骶髂关节炎和致密性髂骨炎的鉴别(附33例临床分析)
其他题名	Differential diagnosis between osteitis condensanse ilii and early sacroiliitis:a clinical analysis of 33 cases
	王庆文 1; 曾庆馀 2; 肖征宇 2
ISSN	1005-2194
出版年	2006
卷号	26 期号:2 页码:130-132
中文摘要	目的了解早期骶髂关节(SIJ)炎和致密性髂骨炎(OCI)的鉴别诊断要点.方法对1997～2004年汕头大学医学院第一附属医院经X线诊断的33例OCI全部进行SIJ CT扫描,CT未能确诊的病例进行SIJ细针穿刺活检.记录临床、实验室、影像学、病理检查资料,进行分析.结果 33例中,17例经CT或病理检查证实SIJ炎症.这些病例的临床特点包括:(1)80%以上HLA-B27阳性.(2)年龄较OCI病例轻.(3)有1/3左右病例为男性,女性多为未婚或未育者.(4)临床上都有SIJ炎的症状和(或)体征.(5)实验室检查多有gamma球蛋白、血沉(ESR)、C反应蛋白(CRP)、碱性磷酸酶(ALT)升高.而OCI病例HLA-B27阳性率同一般人群,均为女性,且多为经产妇,少有SIJ炎体征或实验室检查异常.结论 X线OCI中,不少病例可能是早期SIJ炎,应注意深入检查以除外之.
英文摘要	To understand the. key points of the differential diagnosis between osteitis condensanse ilii (OCI)and early sacroiliitis. Methods From 1997 to 2004, 33 cases of OCI were examined with HLA - B27 determination andsacroiliac joint CT scan, and needle biopsy was performed in some cases when needed. Data of clinical history, laboratory, CT scan, as well as pathological examination were collected and analyzed. Results Sacroiliitis was diagnosed in 17(51. 5% ) cases of the 33 X -ray OCI cases either by CT scan or by pathological examination. Clinical features of these17 cases included o (1) HLA - 1327 was positive in more than 80% of these cases; (2) The age in these oases wasyounger than that in the OCI cases; (3) About 1/3 of these cases were male, and most of the female were unmarriedand nanparous; (4) Most of the cases were with the signs of sacroiliits; (5) *y globulin/ESR/CRP/alkali phosphatasewere elevated in most cases. However, among OCI cases, the prevalence of HLA - B27 was similar to general population ; all of the cases were female 5 most of the-m were pluripara, and few cases were with the signs of sacroiliitis or labo ratory abnormalities. Conclusion In X -ray OCI, many cases might be early sacroiliitis. Attention should be paid to a-void misdiagnosis.
中文关键词	致密性髂骨炎 ; 骶髂关节炎
英文关键词	Osteitis codensanse ilii Sacroiliitis
语种	中文
国家	中国
收录类别	CSCD
WOS类目	MEDICINE GENERAL INTERNAL
WOS研究方向	General & Internal Medicine
CSCD记录号	CSCD:2433487
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/220509
作者单位	1.北京大学深圳医院风湿科; 2.汕头大学医学院第一附属医院风湿病研究室, 汕头, 广东 515041, 中国
推荐引用方式 GB/T 7714	王庆文,曾庆馀,肖征宇. 早期骶髂关节炎和致密性髂骨炎的鉴别(附33例临床分析)[J],2006,26(2):130-132.
APA	王庆文,曾庆馀,&肖征宇.(2006).早期骶髂关节炎和致密性髂骨炎的鉴别(附33例临床分析).,26(2),130-132.
MLA	王庆文,et al."早期骶髂关节炎和致密性髂骨炎的鉴别(附33例临床分析)".26.2(2006):130-132.