超声对强直性脊柱炎髋关节病变的诊断价值  

Ultrasonography in the diagnosis of hip joints damage in ankylosing spondylitis patients

作　　者：王小磊[1] 刘建中[1] 张在斌[2] 王立坤[2] 吴克林[1] 刘花香[3] 李兴福[3] 

机构地区：[1]山东省潍坊市益都中心医院风湿免疫科,262500 [2]山东省潍坊市益都中心医院功能检查科,262500 [3]山东省齐鲁医院风湿免疫科

出　　处：《中华超声影像学杂志》2007年第12期1068-1070,共3页Chinese Journal of Ultrasonography

摘　　要：目的探讨强直性脊柱炎（AS）患者髋关节病变的超声影像学特点及其诊断价值。方法AS患者159例和健康志愿者30例，超声测量双侧髋关节的股骨头软骨厚度、股骨颈颈前间隙，观察有无关节积液及骨质破坏。结果AS患者中56．6％（90／159）超声发现髋关节病变，其中38．4％（61／159）可见到积液，17．6％（28／159）合并骨质破坏，X线发现髋关节病变9．4％（15／159），超声对髋关节病变的检出率高于X线（P〈0．05）。结论超声检查有助于AS髋关节病变的早期发现。Objective To investigate the value of uhrasonography in the diagnosis of hip joints damage in ankylosing spondylitis（AS） patients. Methods Hip joints of 159 AS patients and 30 healthy volunteers were examined by ultrasonography. The thickness of the cartilage and the anterior collum-capsule distance were measured. The intra-articular fluid and the bone erosions were observed. Results By ultrasonography hip joints damage were found in 56.6% （90/159） AS patients. Intra-articular fluid were detected in 38.4% （61/159）. 17.6% （28/159） patients showed bone erosions. Hip joints damage were found in 9.4% （15/159） AS patients by X-ray. The difference between the dection rates was significant （P 0.05）. Conclusions Ultrasonography can be used in examining the hip joints damage in AS patients.

关 键 词：超声检查 脊柱炎 强直性 髋关节 

分 类 号：R686[医药卫生—骨科学]