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中华关节外科杂志(电子版) ›› 2023, Vol. 17 ›› Issue (02) : 151 -160. doi: 10.3877/cma.j.issn.1674-134X.2023.02.001

专家共识

中轴型脊柱关节炎诊断和治疗专家共识(2023年版)
中华医学会骨科分会关节外科学组, 中国医师协会运动医学医师分会, 海军军医大学附属长海医院   
  • 收稿日期:2023-04-07 出版日期:2023-04-01
  • 基金资助:
    国家自然科学基金面上项目(82172390); 国家自然科学基金资助项目(81672126); 国家自然科学基金资助项目(81871751)

Expert consensus on diagnosis and treatment of axial spondyloarthritis (2023 edition)

Joint Surgery Group of Orthopaedic Branch of Chinese Medical Association, Sports Medicine Physicians Branch of the Chinese Medical Doctor Association, Changhai Hospital Affiliated to Naval Military Medical University   

  • Received:2023-04-07 Published:2023-04-01
引用本文:

中华医学会骨科分会关节外科学组, 中国医师协会运动医学医师分会, 海军军医大学附属长海医院. 中轴型脊柱关节炎诊断和治疗专家共识(2023年版)[J]. 中华关节外科杂志(电子版), 2023, 17(02): 151-160.

Joint Surgery Group of Orthopaedic Branch of Chinese Medical Association, Sports Medicine Physicians Branch of the Chinese Medical Doctor Association, Changhai Hospital Affiliated to Naval Military Medical University. Expert consensus on diagnosis and treatment of axial spondyloarthritis (2023 edition)[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(02): 151-160.

中轴型脊柱关节炎是一组以中轴关节及其周围组织慢性进展性炎症为特征的疾病,早期缺乏特异性症状,常被漏诊、误诊或延迟诊断,晚期引起脊柱或受累关节强直畸形,常导致终身残疾。为有效提高疾病的早期诊断和综合诊疗水平,由中华医学会骨科分会关节外科学组和中国医师协会运动医学医师分会组织专家,成立编写组。在2019版专家共识的基础上,充分梳理国际中轴型脊柱关节炎诊疗指南,分析循证医学证据,经过多次讨论形成推荐意见,制定了新版中轴型脊柱关节炎诊断和治疗的专家共识。

Axial spondyloarthritis (axial SpA, ax-SpA) is a group of diseases which are characterised by chronic progressive inflammation of the axial joints of spine and the surrounding tissues. In the early stage, an ax-SpA lacks specific symptoms and it is often missed, misdiagnosed or delayed in diagnosis. In the late stage, it causes ankylosing deformities of spine or the affected spinal joints, often leads to a lifelong disability. The Joint Surgery Group of Orthopaedic Branch of the Chinese Medical Association and Physicians Branch of the Chinese Medical Doctor Association assembled an experts editing group to draft a newer version of an expert consensus in order to effectively improve an early and comprehensive diagnosis and treatment of ax-SpA. Base on the 2019 version of expert consensus, comprehensive reviews of international guidelines for the diagnosis and treatment of axial spinal arthritis was conducted, evidences of evidence-based medicine were analysed, and recommendations were concluded through multiple rounds of discussions. A new version of the expert consensus on the diagnosis and treatment of axial spondyloarthritis is hereby created.

表1 ax-SpA的最新分类标准[3]
Table 1 New classification standards for ax-SpA[3]
表2 ax-SpA治疗的主要方式
Table 2 Main treatment methods of ax-SpA
表3 妊娠期和哺乳期处方生物制剂的用药指南
Table 3 Guidelines for the use of biologicals during pregnancy and lactation
表4 不同药物术前停药时间表
Table 4 Preoperative withdrawal schedule for different drugs
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