超声评分在膝关节类风湿关节炎中的临床意义

发布时间：2018-05-06 00:07

  本文选题：膝关节 + 关节炎　； 参考：《重庆医学》2017年21期

【摘要】：目的探讨膝关节类风湿关节炎超声诊断的价值及超声评分系统的临床意义。方法收集2013年7月至2015年12月丽水市两家三级甲等综合医院膝关节类风湿关节炎患者500例作为观察组,另收集同期健康成人500例作为对照组。观察两组膝关节滑膜厚度、增生滑膜内血管检出率、超声评分、类风湿性关节炎疾病活动度评分、C反应蛋白、红细胞沉降率、髌上囊积液、髌下囊积液、关节腔积液、膝关节软骨和骨表面情况。结果与对照组比较,观察组膝关节滑膜厚度[(0.50±0.19)cmvs.(0.13±0.05)cm,P=0.000]、髌上囊液体深度[(0.62±0.27)cmvs.(0.23±0.05)cm,P=0.000]、髌下囊液体深度[(0.58±0.12)cmvs.(0.21±0.04)cm,P=0.000]、关节腔液体深度[(0.48±0.28)cmvs.(0.12±0.08)cm,P=0.000]、红细胞沉降率[(43.29±12.58)mm/h vs.(12.95±4.39)mm/h,P=0.000]、C反应蛋白水平[(8.95±3.29)mg/L vs.(3.29±1.54)mg/L,P=0.000]、增生滑膜内血管检出率(84.20%vs.13.00%,P=0.000)均明显增加。且超声评分与类风湿关节炎患者类风湿关节炎疾病活动度评分、C反应蛋白水平、红细胞沉降率、髌上囊液体深度、髌下囊液体深度和关节腔液体深度均呈正相关(r=0.583、0.258、0.383、0.219、0.228、0.248,均P0.05)。结论超声在类风湿性关节炎中具有良好的诊断价值,超声评分系统可以较好地反映患者的疾病严重度。
[Abstract]:Objective to evaluate the value of ultrasonography in the diagnosis of rheumatoid arthritis of knee joint and the clinical significance of ultrasonic scoring system. Methods from July 2013 to December 2015, 500 patients with rheumatoid arthritis of knee joint in two general hospitals of Grade 3A in Lishui City were collected as observation group and 500 healthy adults as control group. The thickness of synovial membrane of knee joint, the detectable rate of intrasynovial vessels in hyperplastic synovium, ultrasound score, activity score of rheumatoid arthritis (RA), C-reactive protein, erythrocyte sedimentation rate, suprapatellar sac effusion, infrapatellar sac effusion and articular effusion were observed. Articular cartilage and bone surface. 缁撴灉涓庡�圭収缁勬瘮杈�,瑙傚療缁勮啙鍏宠妭婊戣啘鍘氬害[(0.50卤0.19)cmvs.(0.13卤0.05)cm,P=0.000],楂屼笂鍥婃恫浣撴繁搴�[(0.62卤0.27)cmvs.(0.23卤0.05)cm,P=0.000],楂屼笅鍥婃恫浣撴繁搴�[(0.58卤0.12)cmvs.(0.21卤0.04)cm,P=0.000],鍏宠妭鑵旀恫浣撴繁搴�[(0.48卤0.28)cmvs.(0.12卤0.08)cm,P=0.000],绾㈢粏鑳炴矇闄嶇巼[(43.29卤12.58)mm/h vs.(12.95卤4.39)mm/h,P=0.000],C鍙嶅簲铔嬬櫧姘村钩[(8.95卤3.29)mg/L vs.(3.29卤1.54)mg/L,P=0.000],澧炵敓婊戣啘鍐呰��绠℃��鍑虹巼(84.20%vs.13.00%,P=0.000)鍧囨槑鏄惧�炲姡�

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