试题与答案

男,26岁。腰背痛8年,晨起有腰部僵硬感,向臀部和大腿放射,并出现驼背畸形,同时双髋

题型:单项选择题

题目:

男,26岁。腰背痛8年,晨起有腰部僵硬感,向臀部和大腿放射,并出现驼背畸形,同时双髋关节活动受限。查体:体温正常,脊柱活动明显受限,Thomas征阳性,"4"字试验阳性。辅助检查:X线示骶髂关节完全融合,相邻椎体形成"竹节样"改变。血液检查(HLA-B27)阳性,红细胞沉降率加快,首先考虑的诊断是()

A.髋关节类风湿性关节炎

B.脊柱骨性关节炎

C.强直性脊柱炎

D.腰椎间盘突出症

E.脊柱结核

答案:

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参考答案:D

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