肌骨超声对骨性膝关节炎患者滑膜病变的评估价值  

Evaluation value of musculoskeletal ultrasound in synovial lesions of patients with osteoarthritis

作　　者：邵越 周京晶 白炜 容亚娟 黄雪 SHAO Yue;ZHOU Jing-jing;BAI Wei;RONG Ya-juan;HUANG Xue(Department of Ultrasound Medicine,Ankang Hospital of Traditional Chinese Medicine,Ankang 725000;Department of Reproductive Medicine,Ankang Hospital of Traditional Chinese Medicine,Ankang 725000;Department of Ultrasound Medicine,The First Affiliated Hospital of Air Force University of Military Medicine,Xi an 710032,Shaanxi,China)

机构地区：[1]安康市中医医院超声医学科,陕西安康725000 [2]安康市中医医院生殖医学科,陕西安康725000 [3]空军军医大学第一附属医院超声医学科,陕西西安710032

出　　处：《川北医学院学报》2024年第6期780-782,共3页Journal of North Sichuan Medical College

基　　金：陕西省中医药管理局项目(SZY-NLTL-2022-018)。

摘　　要：目的:探讨肌骨超声对骨性膝关节炎患者滑膜病变的评估价值。方法:选取95例骨性膝关节炎患者作为观察组;同期70名体检健康者为对照组。比较两组对象软骨厚度、滑膜厚度及积液深度;X线与肌骨超声检查对观察组患者膝关节各类病变的检出情况;分析软骨厚度、滑膜厚度及积液深度与膝关节HSS评分的相关性。结果:观察组患者软骨、积液与滑膜厚度均高于对照组(P<0.05)。X线对关节间隙变窄、骨质疏松与骨质增生的检出率均高于肌骨超声(P<0.05);对滑膜增厚、腘窝囊肿、髌上囊积液、关节软骨退化、软骨下骨破坏、半月板损伤退变、韧带损伤等的检出率均低于肌骨超声(P<0.05)。相关性分析显示,骨性膝关节炎患者软骨厚度、积液厚度、滑膜厚度与膝关节HSS评分均呈负相关关系(r=-0.586、-0.712、-0.684,P<0.05)。结论:肌骨超声对于骨关节炎的滑膜病变临床诊断的准确率高,早期诊断敏感性好,有临床推广价值。Objective:To evaluate the evaluation value of musculoskeletal ultrasound in synovial lesions of patients with osteoarthritis.Methods:A total of 95 patients with osteoarthritis were selected as the observation group,and 70 healthy individuals who underwent physical examinations during the same period were included as the control group.The cartilage thickness,synovial thickness and effusion depth of the two groups were compared.X-ray and musculoskeletal ultrasound examinations were performed on 95 patients in the observation group,and the results of the two examinations on various joint lesions were compared.The correlation between cartilage thickness,synovial thickness,and effusion depth with knee joint HSS score was analyzed.Results:The thickness of cartilage,fluid accumulation,and synovium in the observation group were higher than those in the control group(P<0.05).The detection rates of X-ray for narrowing of joint space,osteoporosis,and osteoporosis were higher than those of musculoskeletal ultrasound(P<0.05).The detection rate of synovial thickening,popliteal fossa cyst,patellar fabricius effusion,degradation of articular cartilage,subchondral bone destruction,meniscus damage degeneration,and ligament damage were lower than those of musculoskeletal ultrasound(P<0.05).Correlation analysis showed that cartilage thickness,effusion thickness and synovial thickness were negatively correlated with HSS score(r=-0.586,-0.712,-0.684,P<0.05).Conclusion:Musculoskeletal ultrasound has high accuracy in the evaluation and diagnosis of synovial lesions of bone and joint,good sensitivity in early diagnosis,and has clinical promotion value.

关 键 词：肌骨超声 X线 骨性关节炎 滑膜 准确性 敏感度 

分 类 号：R445.1[医药卫生—影像医学与核医学]