彩色多普勒超声在膝关节骨性关节炎与类风湿性关节炎病变中的鉴别诊断价值研究  

Study on the value of color doppler ultrasonography in differential diagnosis of knee osteoarthritis and rheumatoid arthritis

作　　者：俞爱萍[1] 张适[2] Yu Aiping;Zhang Shi(Department of Ultrasonic Diagnosis,Affiliated Hospital of Beihua University,Jilin,Jilin 132001;Basic Medical College of Beihua University,Jilin Jilin)

机构地区：[1]北华大学附属医院超声诊断科,吉林吉林13200 [2]北华大学基础医学院,吉林吉林132001

出　　处：《中国社区医师》2021年第15期130-131,134,共3页Chinese Community Doctors

摘　　要：目的:研究膝关节疾病诊断使用彩色多普勒超声检查对区分骨性与类风湿性关节炎症病变的价值。方法:2019年4月-2020年6月收治膝关节炎患者80例,分为两组,各40例,膝关节骨关节炎患者为常规组,膝关节类风湿性关节炎为试验组,同时选择此时间段健康体检人群40例设为正常组。比较三组相关指标水平。结果:常规组与试验组膝关节滑膜厚度高于正常组,而常规组与试验组股骨内、外踝软骨厚度低于正常组,差异有统计学意义(P<0.05);试验组关节积液、韧带损伤等概率发生高于常规组,半月板损伤、腘窝囊肿病因率低于常规组,差异有统计学意义(P<0.05);试验组关节积液等概率发生高于常规组,但常规组半月板损伤、腘窝囊肿病因率高于试验组,差异有统计学意义(P<0.05);试验组C反应蛋白、红细胞沉降率、类风湿因子水平均高于常规组,常规组发生腘窝囊肿概率高于试验组,差异有统计学意义(P<0.05)。结论:为高效诊断膝关节骨性关节炎与类风湿性关节炎病变,实施彩色多普勒超声检查能显著提高诊断精准性,对早期病症的诊断和定期随访有益。Objective:To study the value of color doppler ultrasonography in distinguishing osseous and rheumatoid joint inflammation in the diagnosis of knee joint diseases.Methods:From April 2019 to June 2020,80 patients with knee arthritis were selected,they were divided into the two groups with 40 cases in each group.Patients with knee osteoarthritis were in the routine group,and knee rheumatoid arthritis was in the experimental group.At the same time,40 healthy people in this period of time were selected as the normal group.The related indexes of the three groups were compared.Results:The thickness of synovial membrane of knee joint of routine group and experimental group was higher than that of normal group,however,the thickness of medial femoral and lateral malleolus cartilage of routine group and experimental group was lower than that of normal group,the differences were statistically significant(P<0.05).The incidence of joint effusion and ligament injury in the experimental group was higher than that in the routine group,and the etiological rate of meniscus injury and popliteal cyst in the experimental group was significantly lower than that in the routine group,the difference was statistically significant(P<0.05).The equal probability of joint effusion in the experimental group was higher than that in the routine group,but the incidence of meniscus injury and popliteal cyst in the routine group was higher than that in the experimental group,the difference was statistically significant(P<0.05).The C-reactive protein,erythrocyte sedimentation rate and rheumatoid factor in the experimental group were higher than those in the routine group,and the probability of popliteal fossa cyst in the routine group was significantly higher than that in the experimental group,the difference was statistically significant(P<0.05).Conclusion:In order to effectively diagnose knee osteoarthritis and rheumatoid arthritis,color doppler ultrasonography can significantly improve the diagnostic accuracy,which is beneficial to the diagnosis o

关 键 词：CDFI 类风湿性关节炎 骨性关节炎 关节炎症诊断 

分 类 号：R684.3[医药卫生—骨科学] R593.22[医药卫生—外科学]