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类风湿关节炎指骨关节超声改变与骨质疏松的相关性 被引量:4

Correlation between osteoporosis and the ultrasonic changes of finger joints in patients with rheumatoid arthritis
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摘要 目的探讨类风湿性关节炎(RA)指骨关节病变超声改变与骨量变化的相关性。方法应用高频超声对100例RA患者的手指关节进行扫查,观察其滑膜厚度、关节腔、骨面、关节周围软组织及血流供应情况,并采用双能X线吸收法测定腰椎和股骨颈的骨密度。结果高频超声可清晰显示手部指骨关节腔积液、关节滑膜增生、关节侵蚀及骨质疏松情况,伴随着骨质疏松危险因素的RA患者,骨密度与RA的性别、年龄、病程呈负相关,年龄越大、病程越长,其骨密度越低(P<0.05)。RA女性患者发生骨质疏松症明显高于男性。结论骨量变化及超声表现与患者性别、年龄、病程具有明显相关性。骨密度检测结合超声检查更能够实时的反映RA的骨量变化。 Objective To investigate the correlation between osteoporosis and the ultrasonic changes of finger joint lesions in patients with rheumatoid arthritis ( RA). Methods The scanning of finger joints using high frequency ultrasound in 100 patients with RA was performed, in order to observe the synovial membrane thickness, articular cavity, bone surface, joint surrounding soft tissue, and the blood supply. The bone mineral density (BMD) of the lumbar vertebrae and the femoral neck was detected using dual energy X-ray absorptiometry. Results High frequency ultrasound could clearly show the hand articular cavity effusion, joint synovial hyperplasia, joint erosion, and osteoporosis. In RA patients with risk factors of osteoporosis, BMD was negatively correlated with gender, age, and the duration of the disease. The older the patients were, the longer the duration was, and the lower the bone mineral density was (P 〈 0. 05). The incidence of osteoporosis in women with RA was significantly higher than that in men with RA. Conclusion The changes of BMD and ultrasonoic findings are significantly correlated with patients' gender, age, and the duration of disease. The detection of BMD combined with ultrasonic inspection can reflect the real-time changes of bone mass in patients with RA.
出处 《中国骨质疏松杂志》 CAS CSCD 北大核心 2013年第10期1045-1048,共4页 Chinese Journal of Osteoporosis
关键词 骨质疏松 超声改变 风湿性关节炎 Osteoporosis Ultrasonic change Rheumatoid arthritis
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  • 1Harrison BJ,Hutchinson CE,Adams J,et al.Assessingperiarticular bone mineral density in patients with early psoriaticarthritis or rheumatoid arthritis[J].Ann Rheum Dis,2002,61(11):1007. 被引量:1
  • 2Iwamoto J,Takeda T,Ichimura S.Forearm bone mineral densityin postmenopausal women with rheumatoid arthritis[J].CalcifTissue Int,2002,70(1):1. 被引量:1
  • 3Amett FC,Edworthy SM,B bch DA,et al The american rheumatism assoc-iation 1987 revised criteria for the classification ofrheumatoid arthritis.Arthritis Rheum,1988,31(3):315-324. 被引量:1
  • 4刘忠厚.中国人骨质疏松症建议诊断标准[A]..第七届全国骨质疏松症年会论文集[C].杭州:,2000.. 被引量:14
  • 5Book C,Karlsson M,Akesson K,et al.Disease activity anddisability but probably not glucocorticoid ti*eatment predicts lossin bone mineral density in women with early rheumatoid arthritis[J].Scand J Rheumatol,2008,37(4):248. 被引量:1
  • 6Lee C,Almagor C,Dunlop DD,et al.Disease damage and lowbone mineral density:an analysis of women with systemic lupuserythematosus ever and never receiving corticosteroids[J].Rheumatology(Oxford),2006,45(1):53. 被引量:1
  • 7Haugeberg G,Uhlig T,filch JA,et al.Bone mineral density andfrequency of osteoporosis in female patients with rheumatoidarthritis:result from 394 patients in the Olso County rheumatoidarthritis register[J].Arthritis Rheum,2000,43(3):522. 被引量:1
  • 8Naredo E,Collado P,Cruz A,et al.Longitudinal power Dopplerultras on ographic assessment of join tinflamm atoryactivit in earlyrheumat oid arthrit is:predictive value in disease activity andradiologic progression[J].Arthr itis Rheum,2007,57(1);116-124. 被引量:1
  • 9Oster GA,Ard M,Wiell C.Ultrasonography in rheumatoidarthritis:avery Prom sing method still needing more validation[J].Curr OPin Rheumatol,2004,16:223-230. 被引量:1
  • 10肖萤,张桂英,左晓霞,王仲青,肖静珍,罗卉,游运辉.手部小关节滑膜炎超声诊断的临床研究[J].中华医学超声杂志(电子版),2006,3(5):279-282. 被引量:15

二级参考文献32

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  • 1中华医学会风湿病学分会.骨关节炎诊治指南[J].中华风湿病学杂志,2010,14:416-419. 被引量:1
  • 2Suresh E, Abrahamsen B. Denosumab. A novel antiresorp- tive drug for osteoporosis[J]. Cleve Clin J Med,2015,82(2) : 105-114. 被引量:1
  • 3Fuhrmann IK, Steinhagen J, Rtither W, et al. Comparative immunohistochemical evaluation of the zonal distribution of extracellular matrix and inflammation markers in human meniscus in osteoarthritis and rheumatoid arthritis[J]. Acta Histochem, 2015,117(3) :243-254. 被引量:1
  • 4Eckle SBG,Tumer SJ,Rossjohn J,et al. Predisposed a[3 T cell antigen receptor recognition of MHC and MHC-I iike molecules?[J]. Current Opinion in Immunology,2013, 25:653-659. 被引量:1
  • 5Vasikaran S, Eastell R, Bruy Sre O, et al. Markers of bone turnover for the prediction of fracture risk and monitoring of osteoporosis treatment:A need for international refer- ence standards[J]. Osteoporosis Int,2011,22(2) :391---420. 被引量:1
  • 6中华医学会风湿病学分会.类风湿性关节炎诊治指南[J].中华风湿病学杂志,2010.1(14):250-254. 被引量:1
  • 7Constant t, Mrotte H, Pallot-Prades B, et al. 3D ultrasound compared to magnetic reso- nance imaging and 2D ultrasound in as- sessing rheumatoid arthritis activity: A 6- month pilot study[J]. Joint Bone Spine, 2014,30(14):250-254. 被引量:1
  • 8Peri6 P. The role of diagnostic ultrasound of hands and feet in the patients with rheu- matoid arthritis[J]. Reumatizam,2014,61 (2):43-54. 被引量:1
  • 9Yoshimi R, Ihata A, Kunishita Y, et al. A novel 8-joint ultrasound score is useful in daily practice for rheumatoid arthritis[J]. Mod Rheumatol,2014,1 (17): 1-7. 被引量:1
  • 10Zheng G, Wang L, Jia X, et al. Application of high frequency color Doppler ultrasound in the monitoring of rheumatoid arthritis treatment[J]. Exp Ther Med,2014,8(6): 1807-1812. 被引量:1

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