强直性脊柱炎新版课件.ppt

1、（AS）Ankylosing spondylitis1强直性脊柱炎新版10/21/20222强直性脊柱炎新版10/21/20223强直性脊柱炎新版10/21/20224强直性脊柱炎新版10/21/20225强直性脊柱炎新版10/21/20226强直性脊柱炎新版10/21/20227强直性脊柱炎新版10/21/20228强直性脊柱炎新版10/21/20229强直性脊柱炎新版10/21/202210强直性脊柱炎新版10/21/202211强直性脊柱炎新版10/21/202212强直性脊柱炎新版10/21/202213强直性脊柱炎新版10/21/202214强直性脊柱炎新版10/21/202215强

2、直性脊柱炎新版10/21/202216强直性脊柱炎新版10/21/202217强直性脊柱炎新版10/21/202218强直性脊柱炎新版10/21/202219强直性脊柱炎新版10/21/202220强直性脊柱炎新版10/21/202221强直性脊柱炎新版10/21/202222强直性脊柱炎新版10/21/202223强直性脊柱炎新版10/21/202224强直性脊柱炎新版10/21/202225强直性脊柱炎新版10/21/202210cm5cm26强直性脊柱炎新版10/21/202227强直性脊柱炎新版10/21/202228强直性脊柱炎新版10/21/202229强直性脊柱炎新版10/21/

3、2022Patricks test (4(4字试验字试验)该试验方法是将该试验方法是将一条腿折曲、外一条腿折曲、外展并外旋，如果展并外旋，如果受检者出现疼痛，受检者出现疼痛，可诊断可诊断Patricks Patricks testtest阳性阳性.An illustration of Patricks test30强直性脊柱炎新版10/21/202231强直性脊柱炎新版10/21/202232强直性脊柱炎新版10/21/202233强直性脊柱炎新版10/21/202234强直性脊柱炎新版10/21/202235强直性脊柱炎新版10/21/202236强直性脊柱炎新版10/21/202237强直

4、性脊柱炎新版10/21/2022I I 级为可疑变化；级为可疑变化；38强直性脊柱炎新版10/21/202239强直性脊柱炎新版10/21/202240强直性脊柱炎新版10/21/202241强直性脊柱炎新版10/21/202242强直性脊柱炎新版10/21/202243强直性脊柱炎新版10/21/202244强直性脊柱炎新版10/21/202245强直性脊柱炎新版10/21/202246强直性脊柱炎新版10/21/202247强直性脊柱炎新版10/21/202248强直性脊柱炎新版10/21/202249强直性脊柱炎新版10/21/202250强直性脊柱炎新版10/21/202251强直性脊

5、柱炎新版10/21/202252强直性脊柱炎新版10/21/202253强直性脊柱炎新版10/21/202254强直性脊柱炎新版10/21/202255强直性脊柱炎新版10/21/2022男性，31岁，确诊AS，T1WI、T2WI矢状位像显示L1-L4椎体前后角多个边缘锐利的三角形“亮角征”Modic type II型(如箭头所示)56强直性脊柱炎新版10/21/202257强直性脊柱炎新版10/21/2022FS-T2WI（fat-saturated T2-weighted image）58强直性脊柱炎新版10/21/2022Bone Marrow Edema59强直性脊柱炎新版10/21/

6、202260强直性脊柱炎新版10/21/202261强直性脊柱炎新版10/21/2022 apparent diffusion coefficient(ADC)62强直性脊柱炎新版10/21/2022 apparent diffusion coefficient(ADC)63强直性脊柱炎新版10/21/202264强直性脊柱炎新版10/21/2022男性，男性，2828岁，岁，后背部痛后背部痛7 7个个月，怀疑早期月，怀疑早期ASAS。冠状位。冠状位MRMR见骶髂关见骶髂关节受侵，松质节受侵，松质骨水肿。矢状骨水肿。矢状位见胸椎椎体位见胸椎椎体前缘骨质侵润。前缘骨质侵润。65强直性脊柱炎新版1

7、0/21/202266强直性脊柱炎新版10/21/202267强直性脊柱炎新版10/21/2022 超声检查显示，SA骶髂关节炎以多血流信号为主，血流阻力指数（RI）较低。骶髂关节的血流丰富程度及RI分级指标可做为AS的诊断指标，但对活动性评估价值不大。68强直性脊柱炎新版10/21/2022 99m锝-亚甲基二膦酸盐全身骨关节显像对判断强直性脊柱炎病变骨质的代谢活跃程度和病变程度以及评估骨质病变范围有一 定价值。69强直性脊柱炎新版10/21/202270强直性脊柱炎新版10/21/202271强直性脊柱炎新版10/21/202272强直性脊柱炎新版10/21/202273强直性脊柱炎新版10/21/202274强直性脊柱炎新版10/21/202275强直性脊柱炎新版10/21/202276强直性脊柱炎新版10/21/202277强直性脊柱炎新版10/21/202278强直性脊柱炎新版10/21/202279强直性脊柱炎新版10/21/2022谢谢！陈芳妮80强直性脊柱炎新版10/21/2022