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发表于 2008-12-10 10:26:00
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62-6-第六节 预 后
大多数反应性关节炎患者的预后较好。病程多在数周至数月。经及时治疗,患者一般可完全恢复正常。但是,本病有复发的倾向。肠道、泌尿生殖道及呼吸道感染是复发的直接诱因。 * _. } R9 }4 N$ O0 F" m6 R9 [
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部分患者可在病情缓解后仍间断性腹泻或腹部不适长达数月,甚至更久。肌健炎及肌健端病严重者可引起局部的骨质疏松或骨质增生。但本病很少导致破坏性关节病变。有人对100例志贺痢疾杆菌后反应性关节炎随访 20年,无1例继发类风湿关节炎。而另一项对60例反应性关节炎的随访观察,却发现最后诊断为类风湿关节炎 1例。目前,对于反应性关节炎与类风湿关节炎之间关系的研究尚少。此外,临床研究发现,个别反应性关节炎可演变为强直性脊柱炎。 # X, n4 Y9 V6 ]$ T( q; K- J
( 果占国 )
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