ct引导下骶髂关节注射治疗强直性脊柱炎（Injection of sacroiliac joint under CT guidance for ankylosing spondylitis）.doc

ct引导下骶髂关节注射治疗强直性脊柱炎（Injection of sacroiliac joint under CT guidance for ankylosing spondylitis） CT guided sacroiliac joint injection in the treatment of ankylosing spondylitis 2010-09-06 Zhang Xiao Dai L Chen Shaoqiong Abstract: Objective To study the sacroiliac joint injection in the treatment of ankylosing spondylitis (AS) method and effect. Methods under the guidance of CT, patients in the prone position, the lumbar puncture needle inserted in the sacroiliac joint injection of Diprospan (1 ml) or methylprednisolone acetate (50 mg) + 2% ml 2 procaine. Results 12 cases of AS after injection of sacroiliac joint, 10 cases were effective (7 cases markedly effective in 3 cases), 2 cases were ineffective, the total efficiency of 83%, lower back pain severity, the longer the attack on the NSAIDs reaction and the worse, the better curative effect. Conclusion sacroiliac joint injection in the treatment of AS is an effective method for the recent (3 ~ 6 months) curative effect, selection of appropriate patients will be better. Keywords: sacroiliac joint; intraarticular injection; spondylitis, ankylosing; treatment outcome Sacroiliac joint injection under CT guidance treats ankylosing spondylitis ZHANG Xiao DAI Lie CHEN Shaoqiong (Department of Rheumatology, Third Affiliated Hospital.Sun Yat-sen University of Medical Sciences, Guangzhou 510630, China) Abstract:Objective To study the method and effect of sacroiliac joint injection for treating ankylosing spondylitis (AS).Method The patient was prone on the fluoroscopy table.Under CT guidance, the spinal needle was inserted in the space of the sacroiliac joint, then compound betamethasone (1 ml) or methylprednisolone acetate (50 mg) and 2% procaine was infiltrated into the joint.Result Ten patients of AS were effective and after the injection.The whole 2 inteffective effective rate was 83%.The more serious the low back pain, the longer this attack of AS and the worse the effect of NSAIDs, the better the effect of sacroiliac jo