影像评分在按需治疗重型血友病性关节病中的应用价值探讨  

The Value of Image Scale in Se vere Hemophilic Arthropathy Treated on-Demand

作　　者：马娜 许力 Ma Na;XU Li(Departmen of CT/MRI,Anhui No.2 Provincial People's Hospital,Hefei 230041,Anhui Province,China;Departmen of Hematology,Anhui No.2 Provincial People's Hospital,Hefei 230041,Anhui Province,China)

机构地区：[1]安徽省第二人民医院CT/MRI室,安徽合肥230041 [2]安徽第二人民医院血液科,安徽合肥230041

出　　处：《中国CT和MRI杂志》2023年第5期139-140,共2页Chinese Journal of CT and MRI

摘　　要：目的 探讨不同影像学检查评分在按需治疗重型血友病性关节病患者中的应用价值。方法 将2020年1月至2022年1月在我科就诊的按需治疗的重型血友病关节病患者38例,分别采用Pettersson评分、HEAD-US-C评分、IPSG评分对X射线、超声、磁共振检查受累关节的影像学特征进行评估和量化,将年龄和不同影像学评分、3种影像评分之间做相关性分析。结果 中位X线评分为4(0~8)分,中位超声评分为5(0~10)分,中位MRI评分为5.5(0~11)分;不同年龄组,患者X线评分、超声评分及MRI评分不同,差异具有统计学意义(P<0.05);X线评分、超声评分与MRI评分具有显著相关性(P<0.001)。结论 3种影像检查评分均可用评估重型按需治疗血友病患者的关节病变程度,在不同时期选择合适的影像学检查至关重要。Objective To explore the application value of different imaging examination scales in patients with severe hemophilic arthropathy Treated on-Demand.Methods The data of 38 severe hemophilia patients treated on-Demand in our department from January 2020 to January 2022 were analyzed retrospectively.The degree of arthropathy was scored on X-ray using the Pettersson,on ultrasound(US)images with the HEAD-US system,and on magnetic resonance(MRI)using the IPSG scores.Spearman correlation analysis was used to compare the 3 scores.Additional subgroup analysis was performed to assess the impact of the patients'age and on the imaging scores.Results A total of 76 joints from 38 patients were evaluated.The median arthropathy scores were 4(range 0~8),5(range 0~10),and 5.5(range 0~11)on the X-ray,US,and MRI examinations respectively.The X-ray,US and MRI scores differed significantly between the different age groups(P<0.05).Meanwhile,The strongest correlation was noted between the X-ray and US scores,US and MRI scores,the X-ray and MRI scores(P<0.001).Conclusions All 3 imaging scores can be used to evaluate the degree of arthropathy in severe hemophilic patients Treated on-Demand,It is very important to choose the appropriate imaging examination in different period.

关 键 词：重型血友病性关节病 影像学检查 评分 按需治疗 

分 类 号：R554.1[医药卫生—血液循环系统疾病]