目的 评价不同的检查方法在武警部队新兵脊柱关节炎筛查中的应用价值。方法 采用COPCORD询问表配合体检的方法，对武警部队某部入伍新兵共5402名进行初步筛查，而后对纳入的疑似病例进行HLA-B27检查、骨盆平片、骶髋关节CT检查，必要时进行核磁共振检查。结果 最终确诊病例42例，其中AS 8例，ReA 2例，PsA1例，USpA 31例。结论 未分化脊柱关节炎在所有风湿性疾病中占相当大的比例，单项检查方法上X线平片的效能差，CT和HLA-B27的检查组合可以有效地提高脊柱关节炎的检出率。
Abstract
Objective To investigate the most effective screening method of the spondyloarthritis in recruits of People’s Armed Police Force.Methods 2-phase survey was conducted in 5402 recruits of People’s Armed Police Forces,including face-to-face interviews with standardized COPCORD questionnaires and physical examination(Phase Ⅰ screening); further examination with X-ray film and CT of sacroiliac joint and laboratory detection of HLA-B27 of the suspected cases(Phase Ⅱ).Reault 42 cases were confirmed,there were 8 cases of AS,2 cases were indentified with ReA,1 case was indentified with PsA, 31 cases were indentified with USpA.Conclusions USpA accounts for a large enough proportion of all the spondyloarthritis.The diagnostic value of X-ray film in single examination is poor, CT combined with laboratory detection of HLA-B27 can raise diagnostic rate of spondyloarthritis.
关键词
部队 /
脊柱关节炎 /
患病率 /
筛查
Key words
army /
spondyloarthritis /
prevalence /
screening
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