骨二区骨二区傅志均傅志均强直性脊柱炎强直性脊柱炎AnkylosingAnkylosingSpondylitisSpondylitis,,ASAS2011-01-062011-01-0611顺德顺德(shùndé)(shùndé)和平创伤外科医院和平创伤外科医院第一页,共六十六页。第一页,共六十六页。AnkylosingSpondylitis,AS●Ankylosingspondylitis(AS),isaformofarthritis(关节炎)thatprimarilyaffectsthespine,althoughotherjointscanbecomeinvolved.Itcausesinflammation(炎症(yánzhèng))ofthespinaljointsthatcanleadtosevere,chronicpainanddiscomfort.●Inthemostadvancedcases(butnotinallcases),thisinflammationcanleadtonewboneformationonthespine,causingthespinetofuseinafixed,immobileposition,sometimescreatingaforward-stoopedposture.Thisforwardcurvatureofthespineiscalledkyphosis(驼背).2011-01-062011-01-0622顺德和平顺德和平(hépíng)(hépíng)创伤外科医院创伤外科医院第二页,共六十六页。第二页,共六十六页。Description(概况(gàikuàng))●Lowbackpain,withprominentmorningstiffness;improveswithuseandwarmth;sometimesnocturnal(夜间(yèjiān)发生的)●Ofteninsidious(潜伏)inonsetinyoungadults●Lossofchestexpansion(胸廓扩张度)asdiseaseprogresses●Associatedwithperipheralarthritis,enthesitis(起止点炎),andextra-articularmanifestations,suchasiritis(虹膜炎)●Mostfrequentlyfoundinyoungmenunder402011-01-062011-01-0633顺德和平顺德和平(hépíng)(hépíng)创伤外科医院创伤外科医院第三页,共六十六页。第三页,共六十六页。Clinicalfinding—Symptom:(jiāngyìng)2011-01-062011-01-0644顺德和平顺德和平(hépíng)(hépíng)创伤外科医院创伤外科医院第四页,共六十六页。第四页,共六十六页。OtherComplications假关节(guānjié)2011-01-062011-01-0655顺德和平顺德和平(hépíng)(hépíng)创伤外科医院创伤外科医院第五页,共六十六页。第五页,共六十六页。Clinicalfinding—sings:双侧骶髂部柔韧性、灵活性2011-01-062011-01-0666顺德顺德(shùndé)(shùndé)和平创伤外科医院和平创伤外科医院第六页,共六十六页。第六页,共六十六页。Clinicalfinding—singscont:虹膜炎脊神经根炎坐骨神经(zuògǔshénjīng)痛咽峡炎心包炎2011-01-062011-01-0677顺德顺德(shùndé)(shùndé)和平创伤外科医院和平创伤外科医院第七页,...