彩色多普勒超声对类风湿性关节炎腕关节病变的应用价值  

Application value of color Doppler ultrasonography in the treatment of rheumatoid arthritis wrist lesions

作　　者：瞿庆红 罗利飞[2] QU Qinghon LUO Lifei(Department of Uhrasonography, Wenling First People＇s Hospital in Zhejiang Province, Wenling 317500, China Clinical Laboratory, Taizhou Enze Medical Center（Group） Enze Hospital in Zhejiang Province, Taizhou 318050, China)

机构地区：[1]浙江省温岭市第一人民医院超声科,浙江温岭317500 [2]浙江省台州恩泽医疗中心(集团)恩泽医院检验科,浙江台州318050

出　　处：《中国现代医生》2017年第33期102-105,共4页China Modern Doctor

基　　金：浙江省中医药科学研究基金项目(2015ZA217)

摘　　要：目的探讨彩色多普勒超声对类风湿性关节炎腕关节病变的应用价值。方法选取在我院就诊的类风湿性关节炎患者共50例作为观察组,选择同期在我院健康体检人员50例为对照组。两组均接受彩色多普勒超声检查腕关节,观察并比较两组关节腔滑膜结构及滑膜内血流情况的差异。结果观察组患者的腕关节滑膜厚度明显大于对照组,差异有统计学意义(P<0.05);观察组患者腕关节滑膜增厚、关节腔积液及骨质破坏百分比均明显高于对照组,差异均有统计学意义(P<0.01);观察组患者腕关节滑膜内血流信号丰富百分比明显高于对照组,差异均有统计学意义(P<0.05);观察组患者腕关节滑膜动脉血流RI值明显低于对照组,差异均有统计学意义(P<0.05)。结论彩色多普勒超声能较好地显示类风湿性关节炎腕关节病变情况,能为临床早期诊断及治疗提供客观的依据。Objective To evaluate the application value of color Doppler uhrasonography in the treatment of rheumatoid arthritis wrist lesions. Methods A total of 50 patients with rheumatoid arthritis who were admitted to our hospital were selected as the observation group. 50 healthy subjects who received physical examination during the same period of time were selected as the control group. Both groups were given color Doppler ultrasound for the examination of the wrist, and the differences of synovial membrane structure and synovial blood flow between the two groups were observed and compared. Results The thickness of synovial membrane of the wrist joint in the observation group was significantly higher than that in the control group, and the difference was statistically significant（P〈0.05）; the percentage of wrist joint synovial thickening, joint effusion and bone destruction in the observation group was significantly higher than that in the control group, and the difference was statistically significant（P〈0.01）; the percentage of abundant signals of blood flow in the synovial membrane of the wrist joint in the observation group was significantly higher than that in the control group, and the difference was statistically significant（P〈0.05）; the RI value of synovial arterial blood flow in the wrist joint in the observation group was significantly lower than that in the control group, and the difference was staffstically significant（P〈0.05）. Conclusion Color Doppler uhrasonography can better show the rheumatoid arthritis wrist lesions, which can provide an objective basis for clinical early diagnosis and treatment.

关 键 词：类风湿性关节炎 腕关节病变 彩色多普勒超声 应用价值 

分 类 号：R445.1[医药卫生—影像医学与核医学] R593.22[医药卫生—诊断学]