论文部分内容阅读
目的:研究幼年强直性脊柱炎(JAS)骶髂关节病变的CT表现及其与性别、病程、年龄的关系。材料与方法:2001年9月-2003年3月于我院确诊的JAS患者共120例,男106例,女14例。发病年龄4-16岁,平均(12.06±3.0)岁。就诊年龄9-30岁,平均(17.03±2.3)岁。病程3个月-23年,平均(4.10±3.79)年。所有被检查者均行骶髂关节的CT扫描。将骶髂关节炎按1984年美国纽约修订标准分级并作与性别、病程、年龄的相关性研究。结果:JAS患者90.83%于8岁以后发病,男、女发病年龄相似,女性平均病程[(7.02±5.4.1)年]比男性[(3.71±3.36)年]长。骶髂关节单侧发病24例占20%,双侧对称发病66例占55%,双侧不对称发病30例占25%。骶髂关节单、双侧发病与发病年龄无关,而与病程有关。病程在1年之内,骶髂关节双侧发病与单侧发病之比为1.7:1;病程在1-5年,两者比率为5.4:1;病程超过5年,则增高至7.8:1。骶髂关节炎0级24个关节,Ⅰ级27个关节,Ⅱ级51个关节,Ⅲ级117个关节,Ⅳ级21个关节。骶髂关节病变的严重程度与病程呈正相关,而与性别、发病年龄无关。总体上左侧与右侧骶髂关节炎的严重程度相似。结论:JAS患者男女发病年龄相似,但女性病程长。随病程的延长,骶髂关节双侧发病的比率明显增高。骶髂关节炎的严重程度与病程呈正相关,随病程的延长,病变加重,而与性别及发病年龄无关。
Objective: To study the CT findings of sacroiliac joint lesions in juvenile ankylosing spondylitis (JAS) and its relationship with gender, course of disease and age. Materials and Methods: A total of 120 JAS patients diagnosed in our hospital from September 2001 to March 2003 were 106 males and 14 females. Age of onset 4-16 years old, with an average (12.06 ± 3.0) years. Aged 9-30 years of age, mean (17.03 ± 2.3) years. Duration of 3 months to 23 years, an average of (4.10 ± 3.79) years. All subjects underwent CT scan of sacroiliac joint. Sacroiliac arthritis was graded according to New York, NY, 1984 revision standards and related to sex, duration, and age. Results: 90.83% of JAS patients developed after 8 years of age. The age of onset was similar in males and females. The average duration of females was (7.02 ± 5.4.1) years longer than that of males (3.71 ± 3.36 years). Sacroiliac joint unilateral incidence of 24 cases accounted for 20%, bilateral symmetry 66 cases accounted for 55%, 30 cases of bilateral asymmetric incidence of 25%. Sacroiliac joint single, bilateral incidence has nothing to do with the age of onset, but with the course. The course of disease within 1 year, sacroiliac joint bilateral incidence and unilateral disease ratio was 1.7: 1; duration of 1-5 years, the ratio between the two 5.4: 1; duration of more than 5 years, then increased to 7.8: 1 . Sacroiliitis 0 grade 24 joints, Ⅰ grade 27 joints, Ⅱ grade 51 joints, Ⅲ grade 117 joints, Ⅳ grade 21 joints. Sacroiliac joint disease severity and duration of a positive correlation, but with gender, age of onset has nothing to do. Overall, the severity of left and right sacroiliitis is similar. Conclusion: The age of onset of JAS is similar between men and women, but women have longer duration. With the extension of the course, sacroiliac joint bilateral incidence was significantly higher. The severity of sacroiliac joint and duration of the disease was positively correlated, with the extension of the disease, the disease aggravated, but not with the gender and age of onset has nothing to do.