摘要
目的 :探讨强直性脊柱炎 (AS)中西医结合治疗前后影像学表现与临床疗效的关系。方法 :32例患者经临床和影像学明确诊断 ,采用中西医结合方法治疗 ,中医益气补肾 ,活血通络 ,口服强直性脊柱丸 ,中药薰腰、针灸、推拿。西医口服消炎痛 ,理疗。治疗前后均摄X线平片及CT片对比观察。结果 :临床疗效显著好转 19例(5 9 4 % ) ,好转 11例 (34 4 % ) ,无效 2例 (6 2 % ) ,总有效率为 93 8%。影像表现 :全部病例均侵犯双侧骶髂关节 ,共 6 4个关节 ,显著好转 11例 (34 4 % ) ,好转 6例 (18 7% ) ,无变化 12例 (37 5 % ) ,进展 3例 (9 4 % ) ,有效率为5 3 1%。结论 :中西医结合治疗AS疗效好 ,早发现、早治疗可痊愈 ;影像学监测临床疗效经济、可靠。
Objective:To study the relationship of image findings and therapeutic effect of ankylosing spondylitis (AS) pre- and post-treatment with Chinese and western medicine.Methods: 32 patients diagnosed as AS with clinical and image data were received Chinese and western medicine treatment.The Chinese medicine treatment was to replenish Qi and reinforce the kidney,promote the blood circulation to dredge the channels,take the ankylosing spondylitis pelles orally,cauterize waist,acupuncture and moxibustion,and massage.The western medicine treatment was to take the mezolins orally and physiotherapy.Before and after treatment,the patients were all received the X-ray and CT examination to do comparision.Results: The total clinical treatment effect was 93.8%,in which the obviously improved 59.4% (19/32),the improved 34.4% (11/32),the inefficiency 6.2% (2/32).Imaging findings demonstrated that all patients had lesions in the two sides of their sacroiliac joint that make up to 64 joints .These patients got an effective rate of 53.1% in which the obviously improved 34.4% (11/32),the improved 18.7% (6/32),the unchanged 37.5% (12/32),the progressed 9.4%(3/32).Conclusion: The treatment of AS with Chinese and western medicine was effective.The AS could be fully cured if it is detected and treated early.The image examination was economical and trustiness in monitoring the clinical effect.
出处
《中国中西医结合影像学杂志》
2004年第3期164-166,171,共4页
Chinese Imaging Journal of Integrated Traditional and Western Medicine
