中轴型脊柱关节炎诊断和治疗的专家共识(2019年版)

2019-06-30 中国研究型医院学会 中华关节外科杂志(电子版).2019,13(3):261-266.

SpA 的早期症状主要表现为炎性腰背痛,患者会至骨科、风湿科、疼痛科、康复科、中医科等各临床科室门诊就诊。由于缺乏对SpA 诊断和治疗的认识,以致该疾病常被漏诊、误诊或延迟诊断,使得许多患者错失SpA 治疗的最佳时间,导致患者的病情和残疾程度加重。本次共识旨在规范SpA 在临床工作中的诊断和治疗,为临床相关人员提供该疾病诊断和治疗的依据。在临床工作中,中轴型脊柱关节炎(axial SpA,ax-S

中文标题:

中轴型脊柱关节炎诊断和治疗的专家共识(2019年版)

发布机构:

中国研究型医院学会

发布日期:

2019-06-30

简要介绍:

SpA 的早期症状主要表现为炎性腰背痛,患者会至骨科、风湿科、疼痛科、康复科、中医科等各临床科室门诊就诊。由于缺乏对SpA 诊断和治疗的认识,以致该疾病常被漏诊、误诊或延迟诊断,使得许多患者错失SpA 治疗的最佳时间,导致患者的病情和残疾程度加重。本次共识旨在规范SpA 在临床工作中的诊断和治疗,为临床相关人员提供该疾病诊断和治疗的依据。在临床工作中,中轴型脊柱关节炎(axial SpA,ax-SpA)较为常见,故本次专家共识主要侧重于中轴型脊柱关节炎。

 

拓展指南:脊柱相关指南:

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[AttachmentFileName(sort=100, fileName=中轴型脊柱关节炎诊断和治疗的专家共识(2019年版))] GetToolGuiderByIdResponse(projectId=1, id=31edf1c001e9076a, title=中轴型脊柱关节炎诊断和治疗的专家共识(2019年版), enTitle=, guiderFrom=中华关节外科杂志(电子版).2019,13(3):261-266., authorId=null, author=, summary=SpA 的早期症状主要表现为炎性腰背痛,患者会至骨科、风湿科、疼痛科、康复科、中医科等各临床科室门诊就诊。由于缺乏对SpA 诊断和治疗的认识,以致该疾病常被漏诊、误诊或延迟诊断,使得许多患者错失SpA 治疗的最佳时间,导致患者的病情和残疾程度加重。本次共识旨在规范SpA 在临床工作中的诊断和治疗,为临床相关人员提供该疾病诊断和治疗的依据。在临床工作中,中轴型脊柱关节炎(axial SpA,ax-S, cover=, journalId=null, articlesId=null, associationId=1023, associationName=中国研究型医院学会, associationIntro=中国研究型医院学会,英文名称Chinese Research Hospital Association(CRHA),是经国家民政部正式批复并登记注册的全国性一级学会,是独立的法人社团。中国研究型医院学会是由以探索和建设研究型医院为目标的具有医疗服务、科学研究和临床教学&ldquo;三位一体&rdquo;功能的医疗机构,以及从事研究型医院理论与实践研究的人员自愿结成的全国性、专业性、学术性、非营利性社会组织。, copyright=0, guiderPublishedTime=Sun Jun 30 00:00:00 CST 2019, originalUrl=, linkOutUrl=, content=<P>SpA 的早期症状主要表现为炎性腰背痛,患者会至骨科、风湿科、疼痛科、康复科、中医科等各临床科室门诊就诊。由于缺乏对SpA 诊断和治疗的认识,以致该疾病常被漏诊、误诊或延迟诊断,使得许多患者错失SpA 治疗的最佳时间,导致患者的病情和残疾程度加重。本次共识旨在规范SpA 在临床工作中的诊断和治疗,为临床相关人员提供该疾病诊断和治疗的依据。在临床工作中,中轴型脊柱关节炎(axial SpA,ax-SpA)较为常见,故本次专家共识主要侧重于中轴型脊柱关节炎。 </P> <P> </P>拓展指南:<strong>与<font color=red>脊柱</font>相关指南:</strong><br><ul><li><a href="https://www.medsci.cn/guideline/show_article.do?id=c13211c001e88089" title="2019 ACR/SAA建议:强直性脊柱炎和非放射学中轴型脊柱关节炎的治疗(更新版)" target=_blank>2019 ACR/SAA建议:强直性脊柱炎和非放射学中轴型脊柱关节炎的治疗(更新版)</a></li> <li><a href="https://www.medsci.cn/guideline/show_article.do?id=3e6211c001e8165c" title="脊柱转移瘤外科治疗指南" target=_blank>脊柱转移瘤外科治疗指南</a></li> <li><a href="https://www.medsci.cn/guideline/show_article.do?id=032801c001e806a5" title="2019 最佳实践指南:早发型脊柱侧凸手术治疗手术部位感染的预防" target=_blank>2019 最佳实践指南:早发型脊柱侧凸手术治疗手术部位感染的预防</a></li> <li><a href="https://www.medsci.cn/guideline/show_article.do?id=5a8451c001e79624" title="2019 EANM/ESNR/ESCMID共识:成人脊柱感染(椎间盘炎)" target=_blank>2019 EANM/ESNR/ESCMID共识:成人脊柱感染(椎间盘炎)</a></li> <li><a href="https://www.medsci.cn/guideline/show_article.do?id=919371c001e51976" title="耐药脊柱结核临床诊疗专家共识" target=_blank>耐药脊柱结核临床诊疗专家共识</a></li> 更多信息请点击:<a href="https://www.medsci.cn/guideline/list.do?q=%E8%84%8A%E6%9F%B1" target=_blank>有关脊柱更多指南</a></ul>, tagList=[TagDto(tagId=58289, tagName=中轴型脊柱关节炎)], categoryList=[CategoryDto(categoryId=10, categoryName=骨科, tenant=100), CategoryDto(categoryId=21100, categoryName=达仁堂循证e学界, tenant=100)], articleKeywordId=null, articleKeyword=null, articleKeywordNum=null, guiderKeywordId=null, guiderKeyword=null, guiderKeywordNum=null, haveAttachments=1, attachmentList=null, guiderType=0, guiderArea=共识, guiderLanguage=1, guiderRegion=3, opened=0, paymentType=null, paymentAmount=10, recommend=0, recommendEndTime=null, sticky=0, stickyEndTime=null, allHits=19159, appHits=423, showAppHits=0, pcHits=12010, showPcHits=8522, likes=122, shares=22, comments=11, approvalStatus=1, publishedTime=Sat Sep 14 18:05:22 CST 2019, publishedTimeString=2019-06-30, pcVisible=1, appVisible=1, editorId=2020535, editor=qiushida2, waterMark=0, formatted=0, memberCards=[], isPrivilege=0, deleted=0, version=1, createdBy=null, createdName=qiushida2, createdTime=Sat Sep 14 18:05:22 CST 2019, updatedBy=null, updatedName=null, updatedTime=Sat Jan 06 06:58:51 CST 2024, courseDetails=[], otherVersionGuiders=[], isGuiderMember=false, ipAttribution=, attachmentFileNameList=[AttachmentFileName(sort=100, fileName=中轴型脊柱关节炎诊断和治疗的专家共识(2019年版))])
中轴型脊柱关节炎诊断和治疗的专家共识(2019年版)
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  1. [GetPortalCommentsPageByObjectIdResponse(id=1065231, encodeId=abda1065231ae, content=有周围型的吗, beContent=null, objectType=guider, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211030/4bdaca68847c4d2e99b91d36bd3a3aa5/4f9da8f2731d43789f9275daf226d137.jpg, createdBy=328b5648431, createdName=再累也要笑, createdTime=Sat Oct 30 09:59:28 CST 2021, time=2021-10-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1000458, encodeId=45f4100045840, content=非常有用,好文, beContent=null, objectType=guider, channel=null, level=null, likeNumber=61, replyNumber=1, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210925/90bb8e5e1e1549578d7e5dcf0325e6a7/6833dbcc30864cabb97fe04f83406e9a.jpg, createdBy=389d2172044, createdName=1205446bm69(暂无昵称), createdTime=Sat Jul 17 21:24:26 CST 2021, time=2021-07-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1000457, encodeId=2f2d100045eb3, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210925/90bb8e5e1e1549578d7e5dcf0325e6a7/6833dbcc30864cabb97fe04f83406e9a.jpg, createdBy=389d2172044, createdName=1205446bm69(暂无昵称), createdTime=Sat Jul 17 21:23:50 CST 2021, time=2021-07-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=906070, encodeId=54419060e0bc, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9bd62426998, createdName=123aa864m50暂无昵称, createdTime=Tue Dec 08 17:08:43 CST 2020, time=2020-12-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=904547, encodeId=cb8f90454e58, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9bd62426998, createdName=123aa864m50暂无昵称, createdTime=Thu Dec 03 11:40:27 CST 2020, time=2020-12-03, status=1, ipAttribution=)]
    2021-10-30 再累也要笑

    有周围型的吗

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1065231, encodeId=abda1065231ae, content=有周围型的吗, beContent=null, objectType=guider, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211030/4bdaca68847c4d2e99b91d36bd3a3aa5/4f9da8f2731d43789f9275daf226d137.jpg, createdBy=328b5648431, createdName=再累也要笑, createdTime=Sat Oct 30 09:59:28 CST 2021, time=2021-10-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1000458, encodeId=45f4100045840, content=非常有用,好文, beContent=null, objectType=guider, channel=null, level=null, likeNumber=61, replyNumber=1, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210925/90bb8e5e1e1549578d7e5dcf0325e6a7/6833dbcc30864cabb97fe04f83406e9a.jpg, createdBy=389d2172044, createdName=1205446bm69(暂无昵称), createdTime=Sat Jul 17 21:24:26 CST 2021, time=2021-07-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1000457, encodeId=2f2d100045eb3, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210925/90bb8e5e1e1549578d7e5dcf0325e6a7/6833dbcc30864cabb97fe04f83406e9a.jpg, createdBy=389d2172044, createdName=1205446bm69(暂无昵称), createdTime=Sat Jul 17 21:23:50 CST 2021, time=2021-07-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=906070, encodeId=54419060e0bc, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9bd62426998, createdName=123aa864m50暂无昵称, createdTime=Tue Dec 08 17:08:43 CST 2020, time=2020-12-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=904547, encodeId=cb8f90454e58, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9bd62426998, createdName=123aa864m50暂无昵称, createdTime=Thu Dec 03 11:40:27 CST 2020, time=2020-12-03, status=1, ipAttribution=)]
    2021-07-17 1205446bm69(暂无昵称)

    非常有用,好文

    1

    展开1条回复
  3. [GetPortalCommentsPageByObjectIdResponse(id=1065231, encodeId=abda1065231ae, content=有周围型的吗, beContent=null, objectType=guider, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211030/4bdaca68847c4d2e99b91d36bd3a3aa5/4f9da8f2731d43789f9275daf226d137.jpg, createdBy=328b5648431, createdName=再累也要笑, createdTime=Sat Oct 30 09:59:28 CST 2021, time=2021-10-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1000458, encodeId=45f4100045840, content=非常有用,好文, beContent=null, objectType=guider, channel=null, level=null, likeNumber=61, replyNumber=1, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210925/90bb8e5e1e1549578d7e5dcf0325e6a7/6833dbcc30864cabb97fe04f83406e9a.jpg, createdBy=389d2172044, createdName=1205446bm69(暂无昵称), createdTime=Sat Jul 17 21:24:26 CST 2021, time=2021-07-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1000457, encodeId=2f2d100045eb3, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210925/90bb8e5e1e1549578d7e5dcf0325e6a7/6833dbcc30864cabb97fe04f83406e9a.jpg, createdBy=389d2172044, createdName=1205446bm69(暂无昵称), createdTime=Sat Jul 17 21:23:50 CST 2021, time=2021-07-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=906070, encodeId=54419060e0bc, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9bd62426998, createdName=123aa864m50暂无昵称, createdTime=Tue Dec 08 17:08:43 CST 2020, time=2020-12-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=904547, encodeId=cb8f90454e58, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9bd62426998, createdName=123aa864m50暂无昵称, createdTime=Thu Dec 03 11:40:27 CST 2020, time=2020-12-03, status=1, ipAttribution=)]
    2021-07-17 1205446bm69(暂无昵称)

    学习

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1065231, encodeId=abda1065231ae, content=有周围型的吗, beContent=null, objectType=guider, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211030/4bdaca68847c4d2e99b91d36bd3a3aa5/4f9da8f2731d43789f9275daf226d137.jpg, createdBy=328b5648431, createdName=再累也要笑, createdTime=Sat Oct 30 09:59:28 CST 2021, time=2021-10-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1000458, encodeId=45f4100045840, content=非常有用,好文, beContent=null, objectType=guider, channel=null, level=null, likeNumber=61, replyNumber=1, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210925/90bb8e5e1e1549578d7e5dcf0325e6a7/6833dbcc30864cabb97fe04f83406e9a.jpg, createdBy=389d2172044, createdName=1205446bm69(暂无昵称), createdTime=Sat Jul 17 21:24:26 CST 2021, time=2021-07-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1000457, encodeId=2f2d100045eb3, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210925/90bb8e5e1e1549578d7e5dcf0325e6a7/6833dbcc30864cabb97fe04f83406e9a.jpg, createdBy=389d2172044, createdName=1205446bm69(暂无昵称), createdTime=Sat Jul 17 21:23:50 CST 2021, time=2021-07-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=906070, encodeId=54419060e0bc, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9bd62426998, createdName=123aa864m50暂无昵称, createdTime=Tue Dec 08 17:08:43 CST 2020, time=2020-12-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=904547, encodeId=cb8f90454e58, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9bd62426998, createdName=123aa864m50暂无昵称, createdTime=Thu Dec 03 11:40:27 CST 2020, time=2020-12-03, status=1, ipAttribution=)]
    2020-12-08 123aa864m50暂无昵称

    学习

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1065231, encodeId=abda1065231ae, content=有周围型的吗, beContent=null, objectType=guider, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211030/4bdaca68847c4d2e99b91d36bd3a3aa5/4f9da8f2731d43789f9275daf226d137.jpg, createdBy=328b5648431, createdName=再累也要笑, createdTime=Sat Oct 30 09:59:28 CST 2021, time=2021-10-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1000458, encodeId=45f4100045840, content=非常有用,好文, beContent=null, objectType=guider, channel=null, level=null, likeNumber=61, replyNumber=1, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210925/90bb8e5e1e1549578d7e5dcf0325e6a7/6833dbcc30864cabb97fe04f83406e9a.jpg, createdBy=389d2172044, createdName=1205446bm69(暂无昵称), createdTime=Sat Jul 17 21:24:26 CST 2021, time=2021-07-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1000457, encodeId=2f2d100045eb3, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210925/90bb8e5e1e1549578d7e5dcf0325e6a7/6833dbcc30864cabb97fe04f83406e9a.jpg, createdBy=389d2172044, createdName=1205446bm69(暂无昵称), createdTime=Sat Jul 17 21:23:50 CST 2021, time=2021-07-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=906070, encodeId=54419060e0bc, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9bd62426998, createdName=123aa864m50暂无昵称, createdTime=Tue Dec 08 17:08:43 CST 2020, time=2020-12-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=904547, encodeId=cb8f90454e58, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9bd62426998, createdName=123aa864m50暂无昵称, createdTime=Thu Dec 03 11:40:27 CST 2020, time=2020-12-03, status=1, ipAttribution=)]
    2020-12-03 123aa864m50暂无昵称

    学习

    0