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目的了解未分化脊柱关节病(uSpA)的临床症状特点。方法回顾分析64例uSpA病例的临床资料。结果uSpA男女患者比例为1.5:1,平均年龄24.6岁,平均病程3.8年。临床表现及首发症状以炎性腰骶部疼痛最常见,其次为外周下肢单关节肿痛。骶髂关节X线平片阳性率9%,CT阳性率75%。结论uSpA临床症状不典型,误诊率极高,对可疑患者应查HLA-B27和骶髂关节CT。
Objective To understand the clinical features of undifferentiated spondyloarthropathy (uSpA). Methods Retrospective analysis of 64 cases of uSpA clinical data. Results The proportion of uSpA male and female patients was 1.5: 1 with an average age of 24.6 years and an average duration of 3.8 years. Clinical manifestations and first symptom of inflammatory lumbosacral pain is the most common, followed by peripheral lower extremity single joint swelling and pain. Sacroiliac joint X-ray film positive rate of 9%, CT positive rate of 75%. Conclusions The clinical symptoms of uSpA are not typical and the rate of misdiagnosis is very high. HLA-B27 and sacroiliac joint CT should be investigated in suspected patients.