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.
Gu J, Huang J, Li C, et al. Association of chromosome 2q36.1-36.3 and autosomal dominant transmission in ankylosing spondylitis: results of genetic studies across generations of Han Chinese families[J]. J Med Genet, 2009,46(10):657-662.
Liao H T, Chen H A, Chen C H, et al. Undifferentiated spondyloarthropathy in Chinese patients[J]. Arch Med Res, 2006,37(3):384-387.
[7]
Braun J, Bollow M, Sieper J. Radiologic diagnosis and pathology of the spondyloarthropathies[J]. Rheum Dis Clin North Am, 1998,24(4):697-735.
[8]
Amrami K K. Imaging of the seronegative spondyloarthopathies[J]. Radiol Clin North Am, 2012,50(4):841-854.
[9]
Shaikh S A. Ankylosing spondylitis: recent breakthroughs in diagnosis and treatment[J]. J Can Chiropr Assoc, 2007,51(4):249-260.
[10]
Lee Y H, Hong Y S, Park W, et al. Value of multidetector computed tomography for the radiologic grading of sacroiliitis in ankylosing spondylitis[J]. Rheumatol Int, 2013,33(4):1005-1011.
[11]
Braun J, Bollow M, Seyrekbasan F, et al. Computed tomography guided corticosteroid injection of the sacroiliac joint in patients with spondyloarthropathy with sacroiliitis: clinical outcome and followup by dynamic magnetic resonance imaging[J]. J Rheumatol, 1996,23(4):659-664.
2016, Vol. 27 
