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强直性脊椎炎(AS)诊断长期以来主要依靠临床症状、体征与X线平片,其临床分期不够精细。本组患者除具备完整的X线平片以外,均常规地做了脊椎的三节段CT断层扫描。T6.7.8、T11.12、L2.3.4,在156例AS患者中对148例患者进行了影像学指导下的渐进拉压矫形治疗,并获得了满意疗效。临床实践中我们对不同阶段的病例进行了分析比较,发现了临床检查结合脊椎节段CT扫描在AS驼背畸形临床分期诊断中的重要价值及临床矫治指导意义。
Ankylosing spondylitis (AS) diagnosis has long been mainly rely on clinical symptoms, signs and X-ray, the clinical stage is not fine enough. In addition to having a complete set of X-ray film, the patients were routinely done spine three-slice CT scan. T6.7.8, T11.12 and L2.3.4, 148 patients underwent progressive tension-compression orthopedic surgery in 156 patients with AS, and achieved satisfactory results. In clinical practice, we analyzed and compared the different stages of the cases and found that the clinical examination combined with spine CT scan in the diagnosis of AS Humpback deformity clinical staging of the important value and clinical guidance significance.