目的 :提高对强直性脊柱炎 (AS)脊柱外表现的认识。方法 :回顾性分析了 35例住院确诊为AS的脊柱外表现。结果 :AS除了脊柱病变外 ,还可以有外周关节、心、眼、肾、神经、肌肉及全身表现。以外周关节表现为主是AS误诊的主要原因。肾脏、肺、髋关节受累可能提示预后不良。结论 :临床对AS的脊柱外表现应予重视 OBJECTIVE: To improve the understanding of the spine manifestations of ankylosing spondylitis (AS). Methods: A retrospective analysis of 35 cases of hospitalized diagnosed as spina outside the performance. Results: In addition to spinal lesions, AS may have peripheral joints, heart, eyes, kidneys, nerves, muscles and systemic manifestations. Peripheral joint performance is the main reason for misdiagnosis of AS. Kidney, lung, and hip involvement may indicate poor prognosis. Conclusion: The clinical manifestation of AS should be emphasized