超声诊断类风湿关节炎踝关节病变的准确性观察  

Accuracy of Ultrasound in the Diagnosis of Ankle Lesions of Rheumatoid Arthritis

作　　者：赵晓[1] 徐更田[1] 江凤荣[1] ZHAO Xiao;XU Geng-tian;JIANG Feng-rong(Department of Ultrasound,Puyang Oilfield General Hospital,Puyang 457001,China)

机构地区：[1]濮阳市油田总医院超声科,河南濮阳457001

出　　处：《河南科技大学学报（医学版）》2018年第3期215-217,共3页Journal of Henan University of Science & Technology:Medical Science

摘　　要：目的观察超声诊断类风湿关节炎(RA)踝关节病变的准确性。方法对33例RA患者(66个踝关节)临床资料进行回顾性分析,66个踝关节均接受超声和MRI检查,评估超声与MRI诊断RA踝关节病变的关联性与优势性。结果 66个踝关节中,超声诊断软组织病变63. 63%(42/66),其中关节积液37. 88%(25/66),关节积液伴滑膜增厚31. 82%(21/66);超声诊断骨侵蚀关节40. 91%(27/66)。超声与MRI诊断RA踝关节软组织病变和骨侵蚀结果有相关性(P <0. 05),差异性无统计学意义(P> 0. 05)。结论超声可清晰显示RA踝关节软组织病变和骨侵蚀情况,与MRI诊断关联性良好,且便捷、无创、性价比高,适用于对RA踝关节病变的早期诊断。Objective To observe the accuracy of ultrasound in the diagnosis of ankle lesions of rheumatoid arthritis （RA）.Methods The clinical data of 33 RA patients （66 ankle joints） were retrospectively analyzed. And 66 ankle joints were examined by ultrasound and MRI, and the correlation and dominance of ultrasound and MRI in the diagnosis of RA ankle lesions were evaluated.Results In 66 ankle joints, there were 63.63% （42/66） of soft tissue lesions by ultrasound diagnosis, including 37.88% （25/66） of joint effusion and 31.82% （21/66） of joint effusion with synovial thickening. And there were 40.91% （27/66） of bone erosion joints by ultrasound diagnosis. There was a significant correlation between RA soft tissue lesions and bone erosion by ultrasound and MRI （ P 〈0.05）, but there was no significant difference in dominance （ P 〉0.05）.Conclusion Ultrasound can clearly show soft tissue lesions and bone erosion in patients with RA ankle lesions, and it has good correlation with MRI. It is convenient, non-invasive and cost-effective for the early diagnosis of RA ankle lesions.

关 键 词：超声诊断 类风湿关节炎 踝关节 

分 类 号：R455.1[医药卫生—运动医学]