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目的 探讨强直性脊椎炎 (AS)与前葡萄膜炎的关系及可能的意义。方法 对资料完整的 3 5例强直性脊椎炎并发前葡萄膜炎病人的临床特点、HLA B2 7及放射学检查进行分析。结果 3 5例AS并发的前葡萄膜炎全部为急性前葡萄膜炎 (AAU) ,其中 2 5例HLA B2 7阳性 ,占 71% ,放射学检查均显示轻重不等的骶髂关节炎性改变。结论 强直性脊椎炎与前葡萄膜炎关系密切 ,对原因不明的前葡萄膜炎病人进行HLA B2 7及放射学检查有助于早期发现AS。
Objective To investigate the relationship between ankylosing spondylitis (AS) and anterior uveitis and its possible significance. Methods The clinical features, HLA B2 7 and radiological examination of 35 complete anterior anterior uveitis patients with ankylosing spondylitis were analyzed. Results All 35 cases of AS complicated with anterior uveitis were all acute anterior uveitis (AAU), of which 25 were HLA B2 7 positive, accounting for 71%. Radiological examinations showed sacroiliitis with varying severity . Conclusion Ankylosing spondylitis is closely related to anterior uveitis. HLA B2 7 and radiological examination of anterior uveitis in patients with unexplained antecedent uveitis may be helpful for the early detection of AS.