超声在类风湿关节炎的应用及进展  

Progress of ultrasonic imaging in rheumatoid arthritis

作　　者：陈洋[1,2] 宗绍云[1,2] 李芹[1,3] 

机构地区：[1]昆明医学院附属昆华医院 [2]云南省第一人民医院超声科,云南昆明650018 [3]云南省第一人民医院风湿免疫科,云南昆明650018

出　　处：《医学影像学杂志》2011年第5期767-770,共4页Journal of Medical Imaging

摘　　要：类风湿关节炎(RA)是一种以滑膜关节进展性损害为主要特征的慢性炎症性病变。肌骨超声(MSUS)在类风湿关节炎的诊断和监测治疗等方面起着越来越重要的作用,它能在关节炎症的早期阶段就发现滑膜炎,软骨的破坏和骨质侵蚀等。而能量多普勒超声(CDE)正逐渐成为评估RA活动性和进展性的一个有效的方法。超声新技术如:超声造影(CEUS)、三维超声(3DUS)、三维能量多普勒超声(3D-PDUS)等方法为RA的早期诊断、治疗监测及预后评估提供了更为敏感和准确的途径。本文将就MSUS在RA的应用及一些研究进展做一综述。Rheumatoid arthritis(RA) is a chronic inflammatory diease characterized by progressive damage of synovial-lined joints.Muscloskeletal sonography(MSUS) has played a growing role in the diagnosis and management of RA,enabling the imaging of synovitis,bone erosion,and cartilage damage in the early phase of arthritis.Particularly,color Doppler energy(CDE) examination has recently been shown to be an efficient tool for monitoring disease activity and progression in RA.Some new equipments,such as contrast-enhances ultrasonography(CEUS),three-dimensional ultrasonography(3DUS),and three-dimensional power Doppler ultrasonography(3D-PDUS),provide a more sensitive and accurate way for early diagnosis and therapeutic management and prognosis evaluation of this disease.In this article,we describe recent advances in ultrasonic imaging in RA.

关 键 词：类风湿关节炎 肌骨超声 

分 类 号：R8[医药卫生—临床医学] R445