B超在犬髋关节一过性滑膜炎诊断中的价值  

Clinical value of B ultrasonography in the diagnosis of transient synovitis of hip in dogs

作　　者：段贤斌[1] 卢小虎[1] 郭津含 易艳 

机构地区：[1]深圳市人民医院,暨南大学医学院附属第二医院骨科,深圳518000 [2]深圳市人民医院,暨南大学医学院附属第二医院超声科,深圳518000

出　　处：《中南大学学报（医学版）》2013年第7期743-747,共5页Journal of Central South University ：Medical Science

基　　金：2012年深圳市科技计划项目(医疗卫生类)~~

摘　　要：目的:通过动物实验诱发髋关节一过性滑膜炎(TSH),探讨超声检查在动物实验诱发TSH早期诊断中的价值,为临床开展B超早期诊断TSH提供有效实验基础及实验依据。方法:80只2～3个月大小的幼犬在一侧髋关节内注入2‰的去甲肾上腺素,诱发髋关节一过性滑膜炎,在不同时间行99m锝-亚甲基二磷酸盐(99mTC-MDP)三相骨显像,X线、B超、关节液、病理组织学检查。结果:髋关节一过性滑膜炎的病理组织学检查示早期关节滑膜小血管扩张、充血,滑膜绒毛增生、水肿,关节内渗出积液,99mTC-MDP三相骨显像表现为股骨头早期缺血,B超检查示关节间隙增宽,X线检查无明显异常。结论:B超检查能反映髋关节一过性滑膜炎早期变化,可为临床开展髋关节一过性滑膜炎的早期诊断提供有效依据及方法。Objective： To investigate the value of B ultrasonography in the early diagnosis of transient synovitis of hip （TSH） in dogs, and provide the valid base and data for the clinic early diagnosis of TSH. Methods： Eighty 2-3 month old dogs were injected 2‰ noradrenalin （NA） into the hip joint induced TSH. We observed 5 assessments that included the ^99mTC-MDP triphasic imaging, X ray, B ultrasonography, the synovial fluid and the pathological tissue check in different time. Results： Early course of TSH presented the synovium of joint hemangiectasis, hyperaemia, synovium villus hyperplasia, edema, and joint inflammatory exudation. The ischemia of local blood supply of the femoral head was observed by ^99mTC-MDP triphasic imaging. Ultrasonography showed the broadening of the anterior space of the hip, but the X ray showed no valid changes.Conclusion： B ultrasonography can report the early changes of TSH and may be used in the early diagnosis of TSH in children.

关 键 词：B超 髋关节滑膜炎 犬 诊断 

分 类 号：R726.8[医药卫生—儿科]