[非放射性轴性脊椎关节炎的概念和理解]
1Department of Rheumatology and Immunology, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200233, China.
Zhonghua yi xue za zhi
|November 20, 2023
概括
为了避免混,非放射性轴性脊髓关节炎 (nr-axSpA) 的术语应直接翻译,而不是"放射性负"axSpA. 这种区分对于准确诊断和了解轴性脊柱关节炎进展至关重要.
科学领域:
- 类风湿病学 类风湿病学
- 免疫学 免疫学 免疫学
- 临床医学 临床医学
背景情况:
- 国际脊椎关节炎评估协会 (ASAS) 的分类标准引入了非放射性轴性脊椎关节炎 (nr-axSpA).
- 在中国,直接将nr-axSpA翻译为"放射性阴性"axSpA可能会引起误解,因为一些患者可能仍然有微妙的放射性发现.
- 了解nr-axSpA的细微差别对于区分它与结性脊柱炎和其他疾病的早期阶段至关重要.
研究的目的:
- 澄清非放射性轴性脊椎关节炎 (nr-axSpA) 的概念和术语.
- 将nr-axSpA与拟议的"放射性阴性"axSpA转换进行比较.
- 为了突出潜在的错误诊断,由于目前的ASAS对轴性脊柱关节炎的分类标准的特异性.
主要方法:
- 对轴性脊椎关节炎 (axSpA) 分类标准的演变进行审查.
- 对nr-axSpA和"放射性阴性"axSpA的定义和影响进行比较分析.
- 讨论nr-axSpA与早期结性脊柱炎之间的关系.
- 对 axSpA. axSpA. 的 ASAS 分类标准的特异性的检查.
- 对nr-axSpA.的常见错误诊断场景的说明.
主要成果:
- 术语"非放射性轴性脊髓关节炎" (nr-axSpA) 优先于字面翻译,如"放射性阴性" axSpA,以防止诊断混.
- 对nr-axSpA的ASAS分类标准可能包括由于相对较低的特异性而没有真正的axSpA的患者.
- 确定并举例说明了导致nr-axSpA误诊的五种常见情景.
结论:
- 建议对nr-axSpA进行直接翻译,以提高清晰度,避免临床医生误解.
- 了解ASAS分类标准的特异性限制对于准确的nr-axSpA诊断至关重要.
- 需要进一步完善诊断方法,以确保准确识别轴性脊柱关节炎患者.
相关概念视频
Normal Strain under Axial Loading
519
Normal strain under axial loading is an important concept in the field of mechanics of materials. Axial loading implies the application of a force along the axis of a material, like a column or bar. This force can either compress or stretch the material. In the context of axial loading, normal strain is the deformation experienced by the material in the direction of the loading force. It's calculated as the change in length divided by the original length of the material. This unitless ratio...
519
Eccentric Axial Loading in a Plane of Symmetry
199
Eccentric axial loading occurs when an axial load is applied away from the centroidal axis of a structural member. This scenario is common in engineering, where structural elements may not be directly aligned due to various design or functional requirements.
199
Ultrasonography
4.5K
Ultrasonography is an imaging technique that uses high-frequency sound waves to visualize the body's internal structures. It is a non-invasive and safe procedure that does not involve the use of ionizing radiation, making it widely used in various medical fields. Ultrasonography is used to study heart function, blood flow in the neck or extremities, certain conditions such as gallbladder disease, and fetal growth and development.
During an ultrasonography procedure, a handheld device called...
During an ultrasonography procedure, a handheld device called...
4.5K
X-ray Imaging
5.6K
German physicist Wilhelm Röntgen (1845–1923) was experimenting with electrical current when he discovered that a mysterious and invisible "ray" would pass through his flesh but leave an outline of his bones on a screen coated with a metal compound. In 1895, Röntgen made the first durable record of the internal parts of a living human: an "X-ray" image (as it came to be called) of his wife’s hand. Scientists worldwide quickly began their own experiments with...
5.6K
Functional Classification of Joints
4.1K
Functional Classification of Joints
The functional classification of joints is determined by the amount of mobility between the adjacent bones. Joints are functionally classified as a synarthrosis or immobile joint, an amphiarthrosis or slightly moveable joint, or as a diarthrosis, a freely moveable joint. Fibrous and cartilaginous joints can be functionally classified as either synarthroses or amphiarthroses, whereas all synovial joints are classified as diarthroses.
Synarthrosis
An...
The functional classification of joints is determined by the amount of mobility between the adjacent bones. Joints are functionally classified as a synarthrosis or immobile joint, an amphiarthrosis or slightly moveable joint, or as a diarthrosis, a freely moveable joint. Fibrous and cartilaginous joints can be functionally classified as either synarthroses or amphiarthroses, whereas all synovial joints are classified as diarthroses.
Synarthrosis
An...
4.1K
Introduction to Joints
3.0K
The adult human body usually has 206 bones, and except for the hyoid bone in the neck, each bone is connected to at least one other bone. Joints are the location where bones come together. Many joints allow for movement between the bones. At these joints, the articulating surfaces of the adjacent bones can move smoothly against each other. However, the bones of other joints may be joined by connective tissue or cartilage. These joints are designed for stability and provide little or no...
3.0K


