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目的 为早期发现强直性脊柱炎 (A S)患者肺部异常 ,采用肺高分辨率 CT(HRCT)进行检查。方法36例初次确诊 AS患者均查了细胞沉降率 (ESR)、C反应蛋白 (CRP)、HL A- B2 7、全胸片、肺 HRCT、骶髂关节 CT,伴肺部异常者查了肺功能。结果 肺 HRCT示 19例 (5 3% )患肺间质病变 (IL D) ,而全胸片仅 2例 (6 % )示 IL D。 19例患 IL D者作肺功能测定 ,15例正常 ,4例异常。结论 肺 HRCT对 AS患者 IL D的早期诊断有重要意义
The purpose of early detection of ankylosing spondylitis (AS) in patients with lung abnormalities, pulmonary high resolution CT (HRCT) were examined. Methods 36 cases of newly diagnosed AS patients were investigated for cell sedimentation rate (ESR), C-reactive protein (CRP), HL-B2 7, total chest radiograph, pulmonary HRCT, sacroiliac joint CT, Features. Results Pulmonary HRCT revealed 19 cases (53%) of patients with interstitial lung disease (IL D), while only 2 cases (6%) of the total chest radiograph showed IL-6. Nineteen patients with IL-D were enrolled for lung function tests, 15 were normal and 4 were abnormal. Conclusion Lung HRCT is of great significance in the early diagnosis of ILD in AS patients