摘要
目的探讨高频超声检查对类风湿关节炎(Rheumatoid Arthritis,RA)踝关节病变的诊断价值。方法对30例RA患者的60个踝关节行高频彩色多普勒超声检查,并与健康组对比分析。结果高频彩色多普勒超声检出研究组踝关节滑膜增生55个,占91.7%,同时对增生滑膜内血流信号进行分级,血流信号为3级者26个,占47.3%,2级者21个,占38.2%,1级者8个,占14.5%。关节腔积液60个,占100%。骨侵蚀14个,占23.3%。关节周围软组织肿胀及肌腱腱鞘炎47个,占78.3%。研究组与健康组对比超声结果有显著差异。结论高频超声能显示RA踝关节的滑膜炎症、血管翳形成、软骨或骨侵蚀及关节腔积液等病理改变,通过分级诊断为临床诊断、治疗及疗效观察提供翔实的影像学资料,是诊断RA病人踝关节病变的首选方法之一。
Objective Diagnosis value of the high- frequency ultrasound examination of the ankle lesions was evaluated for rheumatoid arthritis（ RA）. Methods 60 ankles were examined with high- frequency color doppler ultrasound in 30 cases of RA patients,analysis was carried out after comparing with healthy group. Results 55 ankles synovial hyperplasia were detected,accounting for 91. 7%,at the same time,blood flow signals inside the hyperplasia of synovial was graded,26 ankles blood flow were level 3,accounting for 47. 3%,21 were level 2, accounting for 38. 2%,8 were grade 1,accounting for 14. 5%. 60 were arthroedema,accounting for 100%. 14 had bone erosion,accounting for 23. 3%. 47 had joint surrounding soft tissue swelling and tendon tenosynovitis, accounting for 78. 3%. There is significant difference between two groups. Conclusion High- frequency ultrasonography can display pathological changes such as synovial inflammation,pannus formation,cartilage or bone erosion and arthroedema in RA ankle,and informative imaging data is able to provide by grading diagnosis,which has big benefit in clinical diagnosis,treatment and curative effect observation. High- frequency ultrasound examination is one of the preferred methods in ankle lesions diagnosis of RA patients.
出处
《内蒙古医学杂志》
2014年第4期403-405,共3页
Inner Mongolia Medical Journal
基金
内蒙古自然科学基金(2010MS1157)
关键词
高频超声
类风湿性关节炎
踝关节
high frequency ultrasound rheumatoid arthritis ankle
