超声诊断银屑病关节炎

发布时间：2018-05-15 21:16

本文选题：银屑病关节炎 + 超声检查　；参考：《中国医学影像技术》2015年07期

【摘要】：目的探讨超声对银屑病关节炎(PsA)的诊断价值。方法收集我院门诊及住院PsA患者32例,所有患者均接受超声及体格检查,包括双侧手足小关节、指甲及下肢主要附着点(股四头肌腱、髌韧带、跟腱及跖筋膜附着端)等,分别观察并计数上述关节、附着点及指甲受累情况,并进行统计学分析。结果体格检查发现406个(406/1792,22.66%)关节病变,79个(79/320,24.69%)附着点炎,84个(84/320,26.25%)指甲病变;超声检查发现492个(492/1792,27.46%)关节病变,166个(166/320,51.88%)附着点炎,203个(203/320,63.44%)指甲病变;超声检查阳性率均高于体格检查(P均0.001)。结论超声能早于体格检查发现PsA患者关节、附着点及指甲病变,超声对PsA的诊断具有重要价值。
[Abstract]:Objective to investigate the diagnostic value of ultrasound in psoriatic arthritis (PsA). Methods 32 cases of PsA were collected. All the patients received ultrasound and physical examination, including bilateral facet joints of hand and foot, main attachment points of nail and lower extremity (quadriceps femoris tendon, patellar ligament, Achilles tendon and metatarsal fascia attachment). The joint, attachment point and nail involvement were observed and counted respectively and analyzed statistically. Results physical examination revealed 406 lesions of 406 / 1792x 22.66) of joints, 79 of 79 / 320 / 320-24.69) attachment point inflammation, 84 / 84 / 320,26.25) of nail lesions; 492 lesions of 492 / 492 / 1792or 27.46) joints, 166 / 166 / 32051.88) adhesion points, 203 / 203 / 203 / 320 / 63.44) nail lesions; the positive rate of ultrasound examination was all higher than that of physical examination (P = 0.001, P = 0.001, P < 0. 001respectively), and the positive rate of ultrasound examination was higher than that of physical examination (P < 0. 001P = 0. 001P = 0. 001P = 0. 001P = 0. 001P = 0. 001P = 0. 001P). Conclusion Ultrasound can find joint, attachment and nail lesions in PsA patients earlier than physical examination. Ultrasound has important value in the diagnosis of PsA.
【作者单位】：川北医学院研究生院;四川省医学科学院四川省人民医院超声科;四川省医学科学院四川省人民医院皮肤科;
【分类号】：R684.3;R445.1

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