Ankylosing spondylitis X ray report sheet 30

Prevention of infection: avoidance of infectious diseases, epidemic invasion, prevention of colds and diarrhoea and reproductive hygiene. Pay attention to your diet.

Tobacco and alcohol should be self-controlled, and should be avoided as much as possible. Pay attention to keeping warm: pay special attention to the warmth of the lower back, choose a sunny house to live in winter, and avoid being in the wind when sweating, because the pores are open when sweating and the wind is easy to invade.

The special sticker of Zhongsheng ankylosis o has a good effect.

Ankylosing spondylitis is a chronic disease with the spine as the main lesion of the cause is not clear, which is characterized by almost all involvement of the sacroiliac joints, calcification of the fibrous annulus of the intervertebral disc and nearby ligaments and bony rigidity, resulting in bending immobility, and can have different degrees of damage to the eyes, cardiovascular, kidneys and other organs. It usually begins in late adolescence or early adulthood, and is very rare after the age of 40. It is recommended that you go to a regular professional hospital to check, find, standardize the use of drugs, treat the symptoms, do not blindly use drugs, blindly, and choose the correct scientific method.

Hello, ankylosing spondylitis, the early stage can be completely **, the middle and late stage can be clinical**, **, first restore the immune function of the whole body, so that the disease resistance in the whole body is enhanced, the body weakness is improved, and at the same time adjust the qi and blood of the whole body, the blood flow speed around the bones and joints of the whole body is accelerated, osteoporosis improves, bone density is gradually restored, bone metabolism is normal, the bone bridge formation of ankylosing spondylitis stops, and the whole body bone is stable to achieve clinical healing.

A positive B27 is generally dangerous, and this is not an absolute factor in the diagnosis, but it is basically true. In the early days, there will be no obvious spinal symptoms, I have knee problems first, I don't believe it when I say it's spondylitis, and then the sacral hip joint or something is gradually getting worse, alas

Little brother, you have to cooperate well**, go to a bigger specialized hospital for diagnosis, it is inevitable to spend some money. In addition, some hospitals are not listed in orthopedics, but internal medicine, which is considered an immune disease. Greetings.

Spondylitis is a chronic, progressive inflammation of the facet joints of the spine.

Ankylosing spondylitis, as long as the human body is examined for the sacroiliac joints, there is also the condition of the spine. Because as long as the sacroiliac joint and spine are checked, can we diagnose whether there is ankylosing spondylitis, through electronic computer scanning, Guiyang Traditional Chinese Medicine Rheumatology Hospital: This is what we generally call CT examination.

This examination can clearly see the condition between people's sacroiliac joints, which is good for measuring the gap between human joints and strength. It can be said that ankylosing spondylitis can be diagnosed by this test. 2. Resonance magnetism and spect contrast are mainly used to take a film of the human sacroiliac joint through this examination.

This is very helpful for early diagnosis of ankylosing spondylitis, and it can be said that the results of this examination will be better than ordinary X-ray examination. However, this test is generally very expensive and will only be used if the diagnosis is not confirmed. Experimental examination, this experimental examination is to calculate whether the number of white blood cells in the human body is normal or rising, and the other is the condition of lymphocytes.

In general, this test is only an adjunct test, and it is slightly more difficult to diagnose ankylosing spondylitis. 4. X-ray examination, this examination is very common in the current ankylosing spondylitis examination, which can be said to be an important basis for diagnosing ankylosing spondylitis disease. The early X-ray manifestations are generally sacroiliitis, and then there may be some lesions, and the sacroiliac joint will have some hardening or spots and so on.

If there is a problem with the sacroiliac joint, it may be a case of anthogenic spondylitis.

The domestic standard for ankylosing spondylitis is generally the 1984 New York standard

1. The course of low back pain lasts for at least 3 months, and the pain is improved by activity and not relieved by rest;

2. The lumbar spine is limited in anterior, anterior and lateral flexion;

3. The range of thoracic extension is less than the normal value of the same age and gender;

4. Bilateral sacroiliitis grade, or unilateral sacroiliitis grade. (This is generally confirmed by imaging, early ankylosing spondylitis requires MR diagnosis, and MR and CT can be detected after the obvious or intermediate stage).

If the patient has 4 and any 1 of the 1 to 3 are attached, the diagnosis of ankylosing spondylitis is confirmed.

In addition, ankylosing spondylitis has an immunoassay called HLA B-27, but this is not conclusive, and generally 85% of ankylosing spondylitis or positive manifestations.

From your description, CT is not obvious, and it should not reach the level of sacroiliitis grade II. The degree of lesion in sacroiliitis on x-rays is classified into 5 grades: grade 0 is normal; Suspicious; Grade mild sacroiliitis; grade moderate sacroiliitis; The grade is arthrodesis and ankylosis.

If you want to be diagnosed early, you can do a sacroiliac joint MR.

Could it be lumbar hyperplasia or lumbar muscle strain? Have you ever had an X-ray?

The routine blood test is leukocytes, red blood cells, platelets, and there is no HLA-B27 in the first place

Computed tomography (CT): CT may be done in patients with clinical suspicion and inconclusive x-rays. It provides a clear indication of the sacroiliac joint space, which is unique in determining whether the joint space is widened, narrowed, rigid, or partially rigid.

Magnetic resonance imaging (MRI) and single-photon emission computed tomography (SPECT): American scientists studied 36 patients, 24 with inflammatory back pain and 12 with back pain caused by mechanical stress. The sacroiliac joint is normal on standard x-rays.

However, MRI was used: sacroiliitis was found in 54% of patients with inflammatory low back pain and 17% of patients with mechanical cause low back pain.

Sacroiliitis was found in 38% of inflammatory low back pain patients with SPECT, compared with not in the mechanopathic group. The positive detection rate of MRI and SPECT was significantly increased.

Sacroiliitis is present in 58% of patients with inflammatory low back pain and 17% of patients with mechanical low back pain. Therefore, the investigators believe that MRI and SPECT scintigraphy sacroiliac joint radiographs are very helpful for very early diagnosis and **. From this point of view, it is obviously superior to ordinary X-rays, but it is expensive and is not recommended as a routine examination.

X-ray findings.

X-ray of the spine:

The articular surface is blurred and uneven, osteoporosis near the joint, osteophytes are formed, and the vertebral body is "square". Calcification or ossification of the anterior and posterior longitudinal ligaments and other intervertebral ligaments, the formation of new bone at the edge of the vertebral body, the formation of a bridge between the upper and lower vertebral bodies, and the calcification of the ligaments from the bottom up in the late stage, and the formation of characteristic "bamboo" ankylotic changes in the spine.

Hip x-ray findings:

Presents with superficial cystic changes in the acetabular and femoral heads, uniform narrowing of the joint space, and osteophyte formation at the articular margins, eventually leading to fibrous or bony rigidity of the hip. Among them, the coexistence of consistent joint space narrowing and osteophytes is a more characteristic X-ray finding, and acetabular cyst change is an early X-ray sign of hip joint involvement. In addition, changes such as osteoporosis of the hip joint, blurring and sclerosis of the articular surface can also be seen.

Hip lesions often develop in tandem with lumbar spine and sacroiliitis.

X-ray examination(1) X-ray findings of sacroiliac joints:

Sacroiliitis is present in almost all ankylosing spondylitis. The sacroiliac joint (SIJ) is the earliest to change and is bilateral, with decreased cortical density of the articular surface, widening of pseudospace, bone destruction (eg, subchondral bone resorption, blurred or jagged destruction of the articular surface, uneven cortical or cortical disruption), sclerosis of the articular margins (eg, ground-glass dense bands and blurred boundaries under the chondral), cystic changes (if there is a small sac-like translucent area, mostly on the lower iliac side of the joint), and narrowing of the joint space, Bony ankylosis develops in advanced joints (figure). Lesions generally begin at the inferior 2 3 points of the sacroiliac joint, progress gradually, and eventually invade the entire joint.

Due to the complex structure of the sacroiliac joint, the overlapping anterior and posterior structures, and the inability of plain radiographs to distinguish between the synovial and ligament parts of the joint, the early diagnosis of sacroiliitis is of limited significance. Since the sacroiliac joint is an auricular joint, the tangential image of the oblique joint is used to make the sacrum and ilium both oblique, and the overlap of the auricular plane is reduced, so that the joint space is clearly displayed, which may be better than the anteroposterior film. Some scholars have found that the coincidence rate of sacroiliitis diagnosed with grade II on plain X-ray radiographs is only 25% to 50% with CT.

Since ankylosing spondylitis takes a long time to be diagnosed**, in order to ensure that the diagnosis is correct, it is best to do further CT examination for sacroiliitis diagnosed with grade II on plain x-rays, so as to avoid unnecessary ** or delay in the patient's condition.

2) X-ray of the spine:

The articular surface is blurred and uneven, osteoporosis near the joint, osteophytes are formed, and the vertebral body is "square". Calcification or ossification of the anterior and posterior longitudinal ligaments and other intervertebral ligaments, the formation of new bone at the edge of the vertebral body, the formation of a bridge between the upper and lower vertebral bodies, and the calcification of the ligaments from the bottom up in the late stage, and the formation of characteristic "bamboo" ankylotic changes in the spine.