摘要
目的分析高频彩超在活动期强直性脊柱炎(AS)患者肌腱端病变中的应用价值。方法将本院确诊的60例AS患者按照Bath强直性脊柱炎疾病活动性指数(BASDAI)分为活动组(24例)与静止组(36例)。比较两组的肌腱端超声检查阳性率、异常肌腱端累及部位、肌腱端的声像图征象特征。结果活动组的肌腱端超声检查阳性率高于静止组(P<0.05)。两组异常肌腱端累及部位的发生率由大到小依次为股四头肌肌腱止点、跟腱止点、髌腱止点、足底筋膜;两组的异常肌腱端累及部位无显著差异(P>0.05)。活动组的肌腱端增厚、滑囊炎和有血流信号患者占比高于静止组(P<0.05)。结论高频彩超可显示AS患者的肌腱端异常声像图征象,为AS活动性评估提供补充。
Objective To analyze the application value of high-frequency color Doppler ultrasound in tendon end lesions in patients with active ankylosing spondylitis(AS).Methods Sixty patients with AS diagnosed in our hospital were divided into activity group(24 cases)and static group(36 cases)according to Bath ankylosing spondylitis disease activity index(BASDAI).The abnormal rate of tendon end ultrasound examination,the involved part of the abnormal tendon end and the sonographic features of the tendon end were compared between the two groups.Results The positive rate of tendon end ultrasound examinationin the activity group was higher than that in the static group(P<0.05).In the two groups,the incidence of abnormal tendon end involved sites in descending order were quadriceps tendon insertion,Achilles tendon insertion,patellar tendon insertion and plantar fascia,there was no significant difference in the involved sites of abnormal tendon ends between the two groups(P>0.05).The proportion of patients with tendon end thickening,bursitis and blood flow signal in the activity group were higher than those in the static group(P<0.05).Conclusion High-frequency color Doppler ultrasound can show the abnormal sonographic features of the tendon end in patients with AS,which provides a supplement for the assessment of activity of AS.
作者
林馥纯
袁胜超
林家东
王豫平
LIN Fuchun;YUAN Shengchao;LIN Jiadong;WANG Yuping(Dongguan TCM Hospital,Dongguan 523000,China)
出处
《临床医学研究与实践》
2021年第33期121-123,共3页
Clinical Research and Practice
基金
广东省东莞市科技局2017年一般项目(No.2016507145001274)。
关键词
强直性脊柱炎
肌腱端病变
彩超
ankylosing spondylitis
tendon lesion
color Doppler ultrasound
