彩色多普勒超声对类风湿性关节炎腕关节病变的应用价值(1)
[摘要] 目的 探讨彩色多普勒超声对类风湿性关节炎腕关节病变的应用价值。 方法 选取在我院就诊的类风湿性关节炎患者共50例作为观察组，选择同期在我院健康体检人员50例为对照组。两组均接受彩色多普勒超声检查腕关节，观察并比较两组关节腔滑膜结构及滑膜内血流情况的差异。 结果 观察组患者的腕关节滑膜厚度明显大于对照组，差异有统计学意义(P<0.05)；观察组患者腕关节滑膜增厚、关节腔积液及骨质破坏百分比均明显高于对照组，差异均有统计学意义(P<0.01)；观察组患者腕关节滑膜内血流信号丰富百分比明显高于对照组，差异均有统计学意义(P<0.05)；观察组患者腕关节滑膜动脉血流RI值明显低于对照组，差异均有统计学意义(P<0.05)。 结论 彩色多普勒超声能较好地显示类风湿性关节炎腕关节病变情况，能为临床早期诊断及治疗提供客观的依据。
[关键词] 类风湿性关节炎；腕关节病变；彩色多普勒超声；应用价值
[中图分类号] R445.1；R593.22 [文献标识码] B [文章编号] 1673-9701(2017)33-0102-04
[Abstract] Objective To evaluate the application value of color Doppler ultrasonography in the treatment of rheumatoid arthritis wrist lesions. Methods A total of 50 patients with rheumatoid arthritis who were admitted to our hospital were selected as the observation group. 50 healthy subjects who received physical examination during the same period of time were selected as the control group. Both groups were given color Doppler ultrasound for the examination of the wrist， and the differences of synovial membrane structure and synovial blood flow between the two groups were observed and compared. Results The thickness of synovial membrane of the wrist joint in the observation group was significantly higher than that in the control group， and the difference was statistically significant(P<0.05)； the percentage of wrist joint synovial thickening， joint effusion and bone destruction in the observation group was significantly higher than that in the control group， and the difference was statistically significant(P<0.01)； the percentage of abundant signals of blood flow in the synovial membrane of the wrist joint in the observation group was significantly higher than that in the control group， and the difference was statistically significant(P<0.05)； the RI value of synovial arterial blood flow in the wrist joint in the observation group was significantly lower than that in the control group， and the difference was statistically significant(P<0.05). Conclusion Color Doppler ultrasonography can better show the rheumatoid arthritis wrist lesions， which can provide an objective basis for clinical early diagnosis and treatment.
[Key words] Rheumatoid arthritis； Wrist lesions； Color Doppler ultrasonography； Application value
類风湿性关节炎是一种慢性、以炎性滑膜炎为主的自身免疫性疾病，好发于中年女性，其病情反复发作，导致关节的不可逆损伤，直接影响患者的日常生活[1，2]。类风湿性关节炎发病原因至今不明，如不及时治疗，致残率高，严重影响患者的生活质量。早期诊治能够明显改善患者预后，减少残疾的发生和经济的浪费，但早期诊断类风湿性关节炎较困难[3，4]。近年来有研究显示彩色多普勒超声能够很好地反映关节及滑膜病变，在诊断类风湿性关节炎方面具有一定的价值[5-8]。本研究采用彩色多普勒超声检测类风湿性关节炎腕关节情况，探讨其在类风湿性关节炎诊断中的应用价值，现报道如下。, http://www.100md.com(瞿庆红 罗利飞)
[关键词] 类风湿性关节炎；腕关节病变；彩色多普勒超声；应用价值
[中图分类号] R445.1；R593.22 [文献标识码] B [文章编号] 1673-9701(2017)33-0102-04
[Abstract] Objective To evaluate the application value of color Doppler ultrasonography in the treatment of rheumatoid arthritis wrist lesions. Methods A total of 50 patients with rheumatoid arthritis who were admitted to our hospital were selected as the observation group. 50 healthy subjects who received physical examination during the same period of time were selected as the control group. Both groups were given color Doppler ultrasound for the examination of the wrist， and the differences of synovial membrane structure and synovial blood flow between the two groups were observed and compared. Results The thickness of synovial membrane of the wrist joint in the observation group was significantly higher than that in the control group， and the difference was statistically significant(P<0.05)； the percentage of wrist joint synovial thickening， joint effusion and bone destruction in the observation group was significantly higher than that in the control group， and the difference was statistically significant(P<0.01)； the percentage of abundant signals of blood flow in the synovial membrane of the wrist joint in the observation group was significantly higher than that in the control group， and the difference was statistically significant(P<0.05)； the RI value of synovial arterial blood flow in the wrist joint in the observation group was significantly lower than that in the control group， and the difference was statistically significant(P<0.05). Conclusion Color Doppler ultrasonography can better show the rheumatoid arthritis wrist lesions， which can provide an objective basis for clinical early diagnosis and treatment.
[Key words] Rheumatoid arthritis； Wrist lesions； Color Doppler ultrasonography； Application value
類风湿性关节炎是一种慢性、以炎性滑膜炎为主的自身免疫性疾病，好发于中年女性，其病情反复发作，导致关节的不可逆损伤，直接影响患者的日常生活[1，2]。类风湿性关节炎发病原因至今不明，如不及时治疗，致残率高，严重影响患者的生活质量。早期诊治能够明显改善患者预后，减少残疾的发生和经济的浪费，但早期诊断类风湿性关节炎较困难[3，4]。近年来有研究显示彩色多普勒超声能够很好地反映关节及滑膜病变，在诊断类风湿性关节炎方面具有一定的价值[5-8]。本研究采用彩色多普勒超声检测类风湿性关节炎腕关节情况，探讨其在类风湿性关节炎诊断中的应用价值，现报道如下。, http://www.100md.com(瞿庆红 罗利飞)