30例早期类风湿性关节炎患者手腕关节超声检查结果分析

发布时间：2018-05-30 08:40

本文选题：类风湿关节炎 + 超声检查　；参考：《山东医药》2016年11期

【摘要】：目的观察早期类风湿性关节炎(RA)患者手腕关节超声检查结果。方法早期RA的30例患者(RA组),应用高频彩色多普勒超声观察腕关节、掌指关节及近端指间关节共660处,测量关节积液及滑膜厚度,观察滑膜内血流特点,手背及手掌侧均行检查,并与10例健康者(对照组)双侧相应关节220处检查结果进行对照。结果RA组手背侧、手掌侧关节积液总检出率分别为14%、26%,滑膜增生总检出率分别为33%、11%,两者比较,P均0.05。RA组146个关节增厚滑膜中可检出血流信号,检出率51%。结论类风湿疾病累及手部小关节时,手背侧超声检查更易检出滑膜增生,手掌侧更易检出关节积液,手背及手掌侧手腕关节均行检查可以更全面了解病情。
[Abstract]:Objective to observe the results of wrist joint ultrasonography in patients with early rheumatoid arthritis (RA). Methods the wrist joint, metacarpophalangeal joint and proximal interphalangeal joint were observed by high frequency color Doppler ultrasound in 30 patients with early RA. The thickness of synovial fluid and synovial membrane were measured, and the characteristics of intrasynovial blood flow were observed. The dorsal and palmar sides of the hand were examined, and the results were compared with those of 10 healthy subjects (control group). Results in RA group, the total detectable rates of hand dorsal and palmar joint effusion were 1426g, and the total detectable rate of synovial hyperplasia were 331.The results were compared with that in 0.05.RA group (P < 0.05). The bleeding flow signals were detected in 146 joints thickened synovium in 0.05.RA group, and the detectable rate was 51%. Conclusion when rheumatoid diseases involve the facet joints of the hand, the synovial hyperplasia is more easily detected by ultrasonic examination on the dorsal side of the hand, and the effusion of the joint on the palmar side is easier to be detected. The condition of the hand can be understood more comprehensively by the examination of both the dorsal and the palmar wrist joints.
【作者单位】：青岛大学附属医院;济宁医学院附属医院;
【基金】：山东省医药卫生科技发展计划项目(2013WS0338) 济宁医学院附属医院苗圃科研项目(JYFY-MP-2013-MS-008)
【分类号】：R593.22

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