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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,Re A 2例,Ps A1例,USp A 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。
Objective To evaluate the value of different examination methods in the screening of recrudescent spine arthritis in Armed Police Forces. METHODS: A total of 5402 recruits from a military unit of the Armed Police Forces were initially screened using the COPCORD Questionnaire in conjunction with the physical examination. HLA-B27, pelvic radiographs and sacral hip CT examinations were then performed on the suspected cases included, if necessary MRI. Results The final diagnosis of 42 cases, including AS 8 cases, Re A 2 cases, Ps A1 cases, USp A 31 cases. Conclusions Undifferentiated spondyloarthritis is a significant proportion of all rheumatic diseases. X-ray radiographs are not effective in single examination. CT and HLA-B27 test combination can effectively improve the detection rate of spondyloarthritis.