肌肉骨骼超声技术对风湿性疾病的诊断价值  

Diagnostic value of musculoskeletal ultrasound for rheumatic diseases

作　　者：何志忠[1] 郑杰 梁丽媚 黄彦 袁建均 HE Zhizhong;ZHENG Jie;LIANG Limei;HUANG Yan;YUAN Jianjun(Department of Ultrasound,Dongguan People’s Hospital Affiliated to Southern Medical University,Dongguan 523000,China;Department of Functional Examination,Sichuan Provincial Orthopedic Hospital,Chengdu 610041,China)

机构地区：[1]南方医科大学附属东莞人民医院超声科,广东东莞523000 [2]四川省骨科医院功能检查科,四川成都610041

出　　处：《中国骨质疏松杂志》2020年第3期394-397,402,共5页Chinese Journal of Osteoporosis

摘　　要：目的探讨肌肉骨骼超声技术在诊断风湿性疾病病情活动中的应用价值。方法选择2016年1月至2018年9月在我院接受治疗的112例风湿性疾病患者,采用肌肉骨骼超声技术对患者进行关节、骨骼、肌肉及软组织扫描,观察治疗前后滑膜厚度、关节积液、骨面缺损、滑膜血流变化、痛风石、双轨征等影像学表现并进行评分比较,评价肌肉骨骼超声技术对风湿性疾病的诊断价值。结果风湿性疾病患者中,有57例(50.89%)发生类风湿关节炎,超声表现为关节滑膜增厚,关节积液深度增加,形成血管翳,发生骨侵蚀;有29例(25.89%)发生痛风性关节炎,超声主要表现为痛风石、多点状强回声和双轨征;有26例(23.21%)发生骨性关节炎,超声主要表现为关节软骨退化、关节滑膜增厚和关节积液。治疗后超声检查显示,除了骨表面缺损和软骨退化以外,其他主要超声观察指标明显改善(P<0.05)。结论肌肉骨骼超声技术能够全面、细致、动态地检测风湿性疾病的组织病变程度及发展情况,对风湿性疾病的影像学诊断和治疗具有很高的应用价值。Objective To explore the application value of musculoskeletal ultrasonography in the diagnosis of rheumatic diseases.Methods One hundred and twelve patients with rheumatic diseases treated in our hospital from January 2016 to September 2018 were selected.Muscle-skeletal ultrasonography was used to scan the joints,bones,muscles,and soft tissues.The imaging manifestations such as synovial thickness,joint effusion,bone surface defect,synovial blood flow changes,gout stone,and double track sign were observed and compared before and after treatment to evaluate the diagnostic value of musculoskeletal ultrasound in rheumatic diseases.Results Among the patients with rheumatic diseases,57 cases(50.89%)developed rheumatoid arthritis.Ultrasonography result showed that the synovium of the joints became thicker,the depth of hydrocele increased,pannus formed,and bone erosion occurred.Twenty-nine cases(25.89%)developed gouty arthritis.Ultrasound manifestations included gouty stone,multipoint strong echo,and double track sign.Osteoarthritis occurred in 26 cases(23.21%).Ultrasound manifestations included degeneration of articular cartilage,thickening of synovial membrane,and joint effusion.Ultrasound examination after treatment showed that except for bone surface defect and cartilage degeneration,the main ultrasound observation indicators were significantly relieved(P<0.05).Conclusion Musculoskeletal ultrasonography comprehensively,meticulously,and dynamically detects the degree and development of tissue lesions in rheumatic diseases.It has high application value for imaging diagnosis and treatment of rheumatic diseases.

关 键 词：肌肉骨骼超声 类风湿性关节炎 痛风性关节炎 骨性关节炎 诊断价值 

分 类 号：R593.2[医药卫生—内科学]