银屑病性关节炎超声诊断价值探讨(附100例报告)  

The ultrasonographic findings of joints in patients with psoriatic arthritis:report of 100 cases

作　　者：王秀艳[1] 于咏梅[2] 孙大庆[2] 

机构地区：[1]山东大学附属省立医院超声诊断科,山东济南250021 [2]山东省皮肤病医院影像科,山东济南250021

出　　处：《医学影像学杂志》2011年第9期1410-1412,共3页Journal of Medical Imaging

摘　　要：目的:探讨银屑病性关节炎(psoriatic arthritis以下称PsA)的超声诊断价值及声像图特征。方法:对100例确诊PsA患者利用高频超声技术观察其病变部位的超声声像图特征并进行分析。结果:100例PsA患者均有不同程度的病患关节及其附属结构异常声像图改变。根据受累部位的不同将其特征性声像图表现分为四种类型:肌腱(或韧带)末端受累型;滑囊受累型;软骨受累型;骨质受累型。四种类型可同时或单独存在。结论:PSA患者受累部位的肌腱(或韧带)末端、滑囊、关节的骨质和软骨及周围组织均具有一定的声像图特征,这些特征对PsA的诊断、鉴别诊断和治疗效果的评估等具有重要临床价值。Objective：To investigate the clinical and pathologic characteristics of psoriatic arthritis（PSA）.Methods：The high frequency ultrasound technology was used to observe the ultrasound imaging of joints in PSA patients.The imaging characteristic was retrospectively analyzed in 100 cases with PSA.Results：All the pactients with PSA had different ultrasonographic changes,in comparison with normal healthy controls.Ultrasonographic changes included four types：Type 1,Tendons or ligaments entheseal inflammation;Tytp II,bursae synovialis inflammation;Type III,cartilage damage;Type IV,bone damage.Each patient could have one or more changes at the same time.Conclusion：The above ultrasonographic changes in joints in patients with PSA,could be used as an useful approach not only to diagnosis of PSA,but also to comment its therapeutic effect and prognosis.

关 键 词：高频超声 银屑病性关节炎 关节 肌腱或韧带 滑囊 

分 类 号：R758.63[医药卫生—皮肤病学与性病学] R445[医药卫生—临床医学]