强直性脊柱炎中西医结合治疗前后磁共振对比

发布时间：2019-05-18 10:51

【摘要】：目的:探讨强直性脊柱炎中西医结合治疗前后磁共振(MRI)表现与临床疗效的关系。方法:将临床确诊强直性脊柱炎患者50例分为两组。中西医结合治疗组(补肾强督汤+西医常规治疗)和西医对照组(西医常规治疗)。治疗前、后均进行MRI平扫+增强检查及X线检查。对比治疗前后临床症状、MRI及X线影像学改变。结果:中西医结合治疗组有效率为96%,西医对照组有效率为76%,两组疗效差异有统计学意义(P0.05)。治疗后MRI显示关节周围强化程度减弱、软骨侵蚀无增加、骨髓水肿减轻或消失、关节积液减少、异常脂肪沉积减少。治疗前后的强直性脊柱炎患者X线检查对比无明显变化。结论:中西医结合治疗强直性脊柱炎较单纯西医治疗疗效好,MRI能有效评价强直性脊柱炎治疗效果,临床上可推广应用。
[Abstract]:Objective: To study the relationship between MRI and MRI in the treatment of ankylosing spondylitis. Methods:50 patients with ankylosing spondylitis were divided into two groups. The combination of traditional Chinese and western medicine (the traditional Chinese medicine and western medicine) and the control group of western medicine (the routine treatment of western medicine). MRI plain scan + enhanced and X-ray examinations were performed before and after treatment. The clinical symptoms, MRI and X-ray imaging changes before and after treatment were compared. Results: The effective rate of the combination of traditional Chinese and western medicine was 96%, the effective rate of the control group was 76%, and the difference between the two groups was statistically significant (P0.05). The post-treatment MRI showed that the degree of strengthening of the periphery of the joint is weakened, the erosion of the cartilage is not increased, the edema of the bone marrow is relieved or disappeared, the joint effusion is reduced, and the abnormal fat deposition is reduced. The X-ray examination of the patients with ankylosing spondylitis before and after treatment did not change significantly. Conclusion: The combination of traditional Chinese and western medicine in the treatment of ankylosing spondylitis is better than that of traditional western medicine, and MRI can effectively evaluate the treatment effect of ankylosing spondylitis, and can be popularized and applied clinically.
【作者单位】：
【基金】：2007年广州市中医药中西医结合科研课题立项项目(编号:2007B28)
【分类号】：R593.23

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