寻常型及关节型银屑病附着点炎超声特征对比分析

发布时间：2018-03-22 14:18

本文选题：寻常型银屑病　切入点：关节型银屑病　出处：《四川大学学报(医学版)》2017年04期 　论文类型：期刊论文

【摘要】：目的探讨并比较关节型银屑病(PsA)及寻常型银屑病(non-PsA)附着点炎的超声特征。方法纳入39例PsA患者(PsA组)、60例non-PsA患者(non-PsA组)及60例健康体检者(对照组)为研究对象。二维及彩色多普勒超声扫查双侧股四头肌腱、髌腱、跟腱、跖筋膜、屈肌总腱及伸肌总腱附着处。比较各组附着点炎发生部位、累及百分率及不同超声征象。结果对照组27例(45.00%)发生附着点炎,主要累及跟腱与股四头肌腱,所有病变均无血流信号。non-PsA组38例(63.33%)发生附着点炎,主要累及跟腱与股四头肌腱,4个病变部位具有血流信号。PsA组33例(84.62%)发生附着点炎,所有部位均可见累及,累及最多为跟腱、股四头肌腱及跖筋膜,18个病变部位具有血流信号。附着点炎的累及百分率,PsA组non-PsA组对照组(P均0.01)。附着处肌腱回声减弱及附着处骨皮质表面骨赘,各组间差异无统计学意义;PsA组及non-PsA组附着处肌腱增厚发生率均高于对照组(P均0.01),但PsA组与non-PsA组间差异无统计学意义;附着处肌腱内钙化、骨皮质表面骨侵蚀及肌腱内血流信号,PsA组高于non-PsA组及对照组(P0.01),non-PsA组与对照组间差异无统计学意义。结论正常人、non-PsA附着点炎好发于跟腱与股四头肌腱;PsA附着点炎好发于跟腱、股四头肌腱及跖筋膜。PsA患者附着点炎的发生率non-PsA患者正常人。PsA患者较另两者更易发生钙化和骨侵蚀,血供也更加丰富。
[Abstract]:Objective to investigate and compare the ultrasonic features of PsA (articular psoriasis) and non-PsA (common psoriasis vulgaris). Methods 39 PsA patients with PsA and 60 patients with non-PsA (non-PsA) and 60 healthy controls (control group) were included in the study. Quadriceps femoris tendons were examined by two-dimensional and color Doppler ultrasonography. Patellar tendon, Achilles tendon, metatarsal fascia, flexor tendon and extensor tendon were attached. All lesions had no attachment point inflammation in group .non-PsA (38 cases), mainly involving Achilles tendon and quadriceps femoris tendon, and 33 cases (84.62%) in 4 lesions. Blood flow signal was found in 18 lesions of quadriceps femoris tendon and metatarsal fascia. The incidence of tendon thickening in PsA group and non-PsA group was higher than that in control group (P < 0.01), but there was no significant difference between PsA group and non-PsA group. There was no significant difference between non-PsA group and control group in bone erosion and intratendinous blood flow signal in PsA group. Conclusion the non-PsA attachment in normal subjects is more common in Achilles tendon and quadriceps femoris tendon than in Achilles tendon. Incidence of attachment point inflammation in patients with quadriceps femoris tendon and metatarsal fascia. PsA patients with non-PsA were more prone to calcification and bone erosion and more abundant blood supply.
【作者单位】：四川大学华西医院超声科;
【基金】：国家自然科学基金(No.81671696)资助
【分类号】：R445.1;R758.63

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