![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
医生好!如何判断是否是强直性脊柱炎?谢谢!(男,40岁)
![](https://resourced.chunyu.mobi/rqsAAABQFla1D4wX-83ab1687-8f55-4986-a204-eec1edd60927_w499_h500_.png?imageMogr2/thumbnail/150x)
吴颖医生
你好,首要要有腰背痛症状,或者虹膜炎,脚后跟疼痛类似症状
![](https://resourced.chunyu.mobi/rqsAAABQFla1D4wX-83ab1687-8f55-4986-a204-eec1edd60927_w499_h500_.png?imageMogr2/thumbnail/150x)
吴颖医生
然后HLA-B27,血沉,c反应蛋白,骶髂关节磁共振这些检查要做
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
是双脚脚后跟痛吗?单侧算吗
![](https://resourced.chunyu.mobi/rqsAAABQFla1D4wX-83ab1687-8f55-4986-a204-eec1edd60927_w499_h500_.png?imageMogr2/thumbnail/150x)
吴颖医生
一般是单侧
![](https://resourced.chunyu.mobi/rqsAAABQFla1D4wX-83ab1687-8f55-4986-a204-eec1edd60927_w499_h500_.png?imageMogr2/thumbnail/150x)
吴颖医生
前提排除了剧烈运动或者长期负重活动导致的
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
嗯!目前治疗强直一般用什么方法
![](https://resourced.chunyu.mobi/rqsAAABQFla1D4wX-83ab1687-8f55-4986-a204-eec1edd60927_w499_h500_.png?imageMogr2/thumbnail/150x)
吴颖医生
抽血查HLA-B27,血沉,c反应蛋白。骶髂关节磁共振这些检查要做
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
嗯
![](https://resourced.chunyu.mobi/rqsAAABQFla1D4wX-83ab1687-8f55-4986-a204-eec1edd60927_w499_h500_.png?imageMogr2/thumbnail/150x)
吴颖医生
👌
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
我之前错过颈椎腰椎胸椎整个脊柱的核磁,这个可以作为一个辅助判断吗
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
做过
![](https://resourced.chunyu.mobi/rqsAAABQFla1D4wX-83ab1687-8f55-4986-a204-eec1edd60927_w499_h500_.png?imageMogr2/thumbnail/150x)
吴颖医生
不可以
![](https://resourced.chunyu.mobi/rqsAAABQFla1D4wX-83ab1687-8f55-4986-a204-eec1edd60927_w499_h500_.png?imageMogr2/thumbnail/150x)
吴颖医生
强直要看骶髂关节
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
骶骨关节炎是什么症状?屁股疼吗
![](https://resourced.chunyu.mobi/rqsAAABQFla1D4wX-83ab1687-8f55-4986-a204-eec1edd60927_w499_h500_.png?imageMogr2/thumbnail/150x)
吴颖医生
是的哦
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
我最近收紧屁股会觉得有点点状的疼
![](https://resourced.chunyu.mobi/rqsAAABQFla1D4wX-83ab1687-8f55-4986-a204-eec1edd60927_w499_h500_.png?imageMogr2/thumbnail/150x)
吴颖医生
要查呀
![](https://resourced.chunyu.mobi/rqsAAABQFla1D4wX-83ab1687-8f55-4986-a204-eec1edd60927_w499_h500_.png?imageMogr2/thumbnail/150x)
吴颖医生
不查也不知道是啥呀
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
腰坐着时间久了有点僵
![](https://resourced.chunyu.mobi/rqsAAABQFla1D4wX-83ab1687-8f55-4986-a204-eec1edd60927_w499_h500_.png?imageMogr2/thumbnail/150x)
吴颖医生
检查做了有就有,没有就没有。症状只是一个提示,确诊需要检查来证实的
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
明白
![](https://resourced.chunyu.mobi/rqsAAABQFla1D4wX-83ab1687-8f55-4986-a204-eec1edd60927_w499_h500_.png?imageMogr2/thumbnail/150x)
吴颖医生
👌
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
一般强直都有什么治疗方法
![](https://resourced.chunyu.mobi/rqsAAABQFla1D4wX-83ab1687-8f55-4986-a204-eec1edd60927_w499_h500_.png?imageMogr2/thumbnail/150x)
吴颖医生
口服药物或者打针,根据疾病具体情况和经济条件
![](https://resourced.chunyu.mobi/rqsAAABQFla1D4wX-83ab1687-8f55-4986-a204-eec1edd60927_w499_h500_.png?imageMogr2/thumbnail/150x)
吴颖医生
先检查明确诊断,现在咨询治疗没啥意义哦
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
我大概很久之前确诊过强直,但是很久没犯病了
![](https://resourced.chunyu.mobi/rqsAAABQFla1D4wX-83ab1687-8f55-4986-a204-eec1edd60927_w499_h500_.png?imageMogr2/thumbnail/150x)
吴颖医生
可以再次复发
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
强直不是治疗好吗,通过吃药控制的吗
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
治疗不好吗
![](https://resourced.chunyu.mobi/rqsAAABQFla1D4wX-83ab1687-8f55-4986-a204-eec1edd60927_w499_h500_.png?imageMogr2/thumbnail/150x)
吴颖医生
有疾病缓解期的
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
缓解期是什么意思
![](https://resourced.chunyu.mobi/rqsAAABQFla1D4wX-83ab1687-8f55-4986-a204-eec1edd60927_w499_h500_.png?imageMogr2/thumbnail/150x)
吴颖医生
就是有好的时候!
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
反复发作再治疗那种吗
![](https://resourced.chunyu.mobi/rqsAAABQFla1D4wX-83ab1687-8f55-4986-a204-eec1edd60927_w499_h500_.png?imageMogr2/thumbnail/150x)
吴颖医生
是的,小部分人可以在疾病缓解期尝试停药
![](https://resourced.chunyu.mobi/rqsAAABQFla1D4wX-83ab1687-8f55-4986-a204-eec1edd60927_w499_h500_.png?imageMogr2/thumbnail/150x)
吴颖医生
大部分停药易复发
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
我这次和上次停药六七年了
![](https://resourced.chunyu.mobi/rqsAAABQFla1D4wX-83ab1687-8f55-4986-a204-eec1edd60927_w499_h500_.png?imageMogr2/thumbnail/150x)
吴颖医生
那现在不就可能复发了嘛
![](https://resourced.chunyu.mobi/rqsAAABQFla1D4wX-83ab1687-8f55-4986-a204-eec1edd60927_w499_h500_.png?imageMogr2/thumbnail/150x)
吴颖医生
而且即使停药也要定期医院复查的,你复查都不复查
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
我给您看下脊柱核磁检查结果,您帮我评一下情况呗
![](https://resourced.chunyu.mobi/rqsAAABQFla1D4wX-83ab1687-8f55-4986-a204-eec1edd60927_w499_h500_.png?imageMogr2/thumbnail/150x)
吴颖医生
网上不看片子哦
![](https://resourced.chunyu.mobi/rqsAAABQFla1D4wX-83ab1687-8f55-4986-a204-eec1edd60927_w499_h500_.png?imageMogr2/thumbnail/150x)
吴颖医生
看不好
![](https://resourced.chunyu.mobi/rqsAAABQFla1D4wX-83ab1687-8f55-4986-a204-eec1edd60927_w499_h500_.png?imageMogr2/thumbnail/150x)
吴颖医生
强直病人不看报告,要看片子有没有急性水肿
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
看结果不看片子
![](https://resourced.chunyu.mobi/rqsAAABQFla1D4wX-83ab1687-8f55-4986-a204-eec1edd60927_w499_h500_.png?imageMogr2/thumbnail/150x)
吴颖医生
这个他们报告报不好的
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
这个病会随着年龄增长渐渐消退吗
![](https://resourced.chunyu.mobi/rqsAAABQFla1D4wX-83ab1687-8f55-4986-a204-eec1edd60927_w499_h500_.png?imageMogr2/thumbnail/150x)
吴颖医生
一般会
![](https://resourced.chunyu.mobi/rqsAAABQFla1D4wX-83ab1687-8f55-4986-a204-eec1edd60927_w499_h500_.png?imageMogr2/thumbnail/150x)
吴颖医生
没有一定
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
也就是减少复发或者病情消失
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
平时要做哪些保健锻炼运动之类吗
![](https://resourced.chunyu.mobi/rqsAAABQFla1D4wX-83ab1687-8f55-4986-a204-eec1edd60927_w499_h500_.png?imageMogr2/thumbnail/150x)
吴颖医生
游泳
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
对于这个病最好的一些习惯是什么
![](https://resourced.chunyu.mobi/rqsAAABQFla1D4wX-83ab1687-8f55-4986-a204-eec1edd60927_w499_h500_.png?imageMogr2/thumbnail/150x)
吴颖医生
不做负重体力劳动
提示:疾病因人而异,他人的咨询记录仅供参考,擅自治疗存在风险。
咨询时间: 2021-10-21