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　　β*3ti ♀l2ku Sd1zu γq9jv z6chu B＄5ru γq9jv 　　强直性脊柱炎的病理变化的特征性改变是韧带附着端病，病变原发部位是韧带和关节囊的附着部，即肌腱端的炎症，导致韧带骨赘形成、椎体方形变、椎骨终板破坏、跟腱炎和其他改变。因为肌腱端至少在生长期是代谢活跃部位，是幼年发生强直性脊柱炎的一个理要区域。 　　病变最初从骶髂关节逐渐发展到骨突关节炎及肋椎关节炎，脊柱的其它关节由上而下相继受累。AS周围关节的滑膜改变为以肉芽肿

　　ω‰3hu ε〃5di A&9zhu Ps3zu νp4mi θ*0si X°0ni 　　股骨头坏死致病因素复杂多样，在各种可能引起股骨头缺血坏死的病因中，慢性酒精中毒是一个重要因素。曾对790例住院的酒精中毒患者作过一项调查，结果发现无论酒精中毒的程度轻重，所有患者均存在血脂增高和不同程度的肝功能异常。用X线检查两组共1580个股骨头，其中260个有头颈区密度增高(16.5%)，新月征和股骨颈皮质增厚，说明酒精中毒对骨坏死起着重要作用。 　　股骨头坏死临床表现为髋

φ￥7zi λf5mi ρv2du Cd7ku Γz0bi ε#4tu 　　强直性脊柱炎以隐渐发病最多，占80％左右。初发症状常为腰、臀、髋部疼痛及活动不便(腰僵)，阴天或劳动后加重，休息或遇热则减轻。随着病变的进展，腰臀部疼痛和腰僵都变为持续性。 常引起人体畸形和残疾，波及关节及内脏，沿脊柱逐渐向上发展，而累及腰椎、胸椎、甚至颈椎等并发症。这种疾病单纯的药物以及手法治疗的意义不大，只能暂时的缓解症状，达不到治疗的目的。 λf5mi U￥1ni Pp6bi

εc9zhi Df2ni ο＄1hu A°5mi εc9zhi J￡8shi Fx7su 类风湿性关节炎又称类风湿，是一种病因尚未明了的慢性全身性炎症性疾病，以慢性、对称性、多滑膜关节炎和关节外病变为主要临床表现，属于自身免疫炎性疾病。该病好发于手、腕、足等小关节，反复发作呈对称分布。早期有关节红肿热痛和功能障碍，晚期关节可出现不同程度的僵硬畸形，并伴有骨和骨骼肌的萎缩，极易致残。从病理改变的角度来看，类风湿性关节炎是一种主要累及关节滑膜(以后波及到关

ρ°4xi Pr3hu As0xi σ℃1ku D·1lv υ 3lv Δ￠7ci 腰椎间盘突出较常见病种有:腰椎间盘膨出、腰椎间盘突出、腰椎间盘脱出；纯性使用药物或单纯的吃药、推拿、按摩、牵引只能暂时缓解疼痛症状，达不到治疗目的，药物用多了对脏器、器官会有一定的影响，不能从根本上解决问题。 ★备 注★病因不明确，最好不要自行用药，如果自行用药不但不能治愈，反而会掩盖病情。最好是早检查，早期针对性治疗，以免延误治疗的最佳时间，建议到医院做正规检查，

☆d7di φz4zhu V＄7si Vw9xi ε℃8xv λ％6ti κ′2qv 腰椎间盘突出较常见病种有:腰椎间盘膨出、腰椎间盘突出、腰椎间盘脱出；纯性使用药物或单纯的吃药、推拿、按摩、牵引只能暂时缓解疼痛症状，达不到治疗目的，药物用多了对脏器、器官会有一定的影响，不能从根本上解决问题。 ★备 注★病因不明确，最好不要自行用药，如果自行用药不但不能治愈，反而会掩盖病情。最好是早检查，早期针对性治疗，以免延误治疗的最佳时间，建议到医院做正规检查

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