超声检查在多发性大动脉炎诊断和鉴别诊断中的应用  

Application of ultrasonography in diagnosis and differential diagnosis of Takayasu arteritis

作　　者：林昱[1,2] 刘美含 石卫东[1] 孙志霞[1] 陈恩琪[1] 张锌[3] 王志远[1] LIN Yu;LIU Meihan;SHI Weidong;SUN Zhixia;CHEN Enqi;ZHANG Xin;WANG Zhiyuan(Department of Ultrasound, China Japan Union Hospital, Jilin University, Changchun 130033, China;Department of Function, Wujing Hospital, Minhang District, Shanghai City, Shanghai 200241,China;Department of Rheumatology and Immunology, China Japan Union Hospital, Jilin University, Changchun 130033, China)

机构地区：[1]吉林大学中日联谊医院超声科,吉林长春130033 [2]上海市闵行区吴泾医院功能科,上海200241 [3]吉林大学中日联谊医院风湿免疫科,吉林长春130033

出　　处：《吉林大学学报（医学版）》2017年第6期1268-1271,共4页Journal of Jilin University：Medicine Edition

基　　金：吉林省财政厅吉林省直卫生专项项目资助课题(SCZSY201510);吉林大学白求恩医学部教学改革项目资助课题(B2014B149)

摘　　要：目的:探讨超声检查在多发性大动脉炎(TA)诊断和鉴别诊断中的临床应用价值。方法:选取临床疑似TA患者39例,均行超声、红细胞沉降率(ESR)、C反应蛋白(CRP)水平及CT血管造影(CTA)检查,并将超声检查结果与最终临床诊断结果进行对照分析。结果:39例临床疑似TA患者中,超声诊断TA者33例,动脉硬化(AS)者2例,肌纤维发育不良(FMD)者2例,血栓闭塞性脉管炎(TAO)者2例;与临床最终诊断结果比较,仅有1例FMD患者超声误诊为TA,其余诊断结果均与临床最终诊断结果一致。结论:超声检查能为TA提供较为客观准确的诊断和鉴别诊断依据,是一种有效的影像学检查方法。Objective:To investigate the clinical application value of ultrasound in the diagnosis and differential diagnosis of Takayasu arteritis(TA).Methods:A total of39suspected TA patients were examined by ultrasonography,erythrocyte sedimentation rate(ESR),C reactive protein(CRP)and CT angiography(CTA),and the ultrasound examination results were.compared and analyzed with the final chinical diagnosis results.Results:Of the39cases of suspected TA patients which had been examined by ultrasound,33cases were diagnosed as TA,2cases were diagnosed as atherosclerosis(AS),2cases were diagnosed as fibromuscular dysplasia(FMD)and2cases were diagnosed as thromboangiitis obliterans(TAO)..compared with final chinical diagnosis results,1FMD patient was misdiagnosed as TA,and the rest of the diagnostic results were consistent with the final chinical diagnosis results.Conclusion:Ultrasound examination can provide objective and accurate basis for the diagnosis and differential diagnosis of TA,and it is an effective method of imaging examination.

关 键 词：超声 多发性大动脉炎 鉴别诊断 临床诊断 影像学 

分 类 号：R445.1[医药卫生—影像医学与核医学]