超声对类风湿关节炎早期诊断及治疗效果评价的作用研究  

The effect of ultrasound in the diagnosis and treatment of rheumatoid arthritis

作　　者：吕斌[1] 肖芳[1] 牟霜[1] 袁媛[1] 周小莉[1] 

机构地区：[1]重庆市中医院超声科,400021

出　　处：《重庆医学》2014年第31期4222-4224,共3页Chongqing medicine

摘　　要：目的探讨彩色多普勒超声在类风湿性关节炎(RA)早期诊断和治疗过程中的作用;方法通过超声检测志愿者与RA患者关节情况,超声对RA的早期诊断;进一步通过DAS28评分和MRI对患者的检测判断超声检测的准确性;再通过记录RA患者治疗过程中不同时间的超声指标,判断关节变化,提供治疗方案及预后;结果超声可以准确诊断RA患者(P<0.05),并与DAS28评分和MRI评分高度相关(r=0.859,P<0.05),在治疗过程中准确反应关节的变化,为治疗提供确切依据。结论超声在RA的诊断中有明显的优势,可以作为RA早期诊断和治疗疗效的评价方法。Objective To explore the effect of ultrasound in the diagnosis and treatment of rheumatoid arthritis .Methods though early diagnose of RA by ultrasound ,DAS28 and MRI′s result to measure the accuracy of ultrasound test .then though the ul‐trasound index at different time point in the treatment of RA patients ,we knew the changes of the joint ,and provide treatment plan and prognosis .Results ultrasound had high accuracy rate in the diagnoses of RA（P〈 0 .05） ,and there were correlation among ul‐trasound diagnoses accuracy and DAS28 and MRI score（r= 0 .859 ,P〈 0 .05） ;at the same time ,it provided accurate changes of the joint during the treatment ,and provided basis for treatment .Conclusion Ultrasound has manifest advantageous in diagnose RA .It could be used as a method in early diagnose RA and evaluate the effect on RA′s treatment .

关 键 词：超声检查  多普勒  彩色 关节炎  类风湿 核磁共振成像 

分 类 号：R445.1[医药卫生—影像医学与核医学]