高频超声对类风湿性跟腱病的诊断价值

发布时间：2017-12-31 05:07

  本文关键词：高频超声对类风湿性跟腱病的诊断价值　出处：《中国医学影像学杂志》2017年09期 　论文类型：期刊论文

  更多相关文章： 关节炎 类风湿 跟腱 肌腱病 超声检查

【摘要】：目的探讨高频超声(HFUS)对类风湿性关节炎(RA)跟腱病的诊断价值。资料与方法回顾性分析67例共93足的跟腱HFUS表现,其中健康对照组11例22足(A组),RA跟腱病组36例40足(B组)和非RA跟腱病组20例31足(C组)。应用HFUS观察跟腱部位的灰阶声像图(GSI)和能量多普勒显像(PDI)特征分析并比较各组:(1)跟腱GSI异常阳性率;(2)跟腱起点、中点和止点的厚度和宽度;(3)跟骨后滑囊积液检出率;(4)跟腱内血流信号检出率;(5)血流信号的等级。结果 (1)跟腱GSI异常阳性率:A组与B组差异无统计学意义(χ~2=0.064,P0.05),C组比A组和B组更易出现异常(χ~2=31.601、39.256,P0.05);(2)跟腱径值测量:C组各点横切面厚度均较A、B组增大(P0.05),各组间横切面宽度差异均无统计学意义(P0.05);(3)跟骨后滑囊积液检出率:A组未检出,B组(55.0%)检出率高于C组(19.4%),差异有统计学意义(P0.05);(4)跟腱内血流信号检出率:A组未检出,B组(97.5%)检出率高于C组(45.2%),差异有统计学意义(P0.05);(5)血流信号等级:Ⅰ级检出率B组(7.5%)低于C组(35.5%),Ⅱ级检出率B组(35.0%)高于C组(9.7%),差异均有统计学意义(P0.05),Ⅲ级检出率仅B组45.0%,C组未检出。另外对3例PDI显示Ⅲ级血流信号累及跟腱脂肪垫的患者进行穿刺活检,发现病理结果与超声表现一致。结论 HFUS诊断RA跟腱病具有较高的应用价值,并能够与非RA原因所致跟腱病进行鉴别,可以协助临床早诊断、早治疗,避免跟腱断裂等不良进展。
[Abstract]:Objective to evaluate the diagnostic value of HFU in the diagnosis of Achilles tendon disease with rheumatoid arthritis (RA). Materials and methods the HFUS findings of Achilles tendon in 67 cases (93 feet) were retrospectively analyzed. The healthy control group included 11 cases (22 feet). Group B (36 cases with RA Achilles tendon disease) and group C (20 cases (31 feet) with non-RA Achilles tendon disease). The gray-scale ultrasonography and energy Doppler imaging of Achilles tendon were observed by HFUS (. The abnormal GSI positive rate of Achilles tendon in each group was analyzed and compared. (2) thickness and width of Achilles tendon starting point, midpoint and stop point; 3) the detection rate of posterior calcaneal skidding sac effusion; 4) detecting rate of blood flow signal in Achilles tendon; Results the abnormal GSI positive rate of Achilles tendon in group A was not significantly different from that in group B (蠂 2 0. 064 P 0. 05). Group C was more prone to abnormal than group A and group B (蠂 2 + 31.601) 39.256U (P 0.05); (2) measuring the diameter of Achilles tendon, the thickness of transverse section in group C was larger than that in group A (P 0.05), and there was no significant difference in the width of transverse section between each group (P 0.05). (3) the positive rate of posterior calcaneal sac effusion was 55.0% in group B (P < 0.05), higher than that in group C (P 0.05). (4) the detection rate of blood flow signal in Achilles tendon was higher in group B than in group C (P 0.05). Blood flow signal grade: the detectable rate of blood flow signal in group B was lower than that in group C (7.5%), and the detection rate of grade 鈪，

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