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Ultrasonic Characteristics and Diagnostic Value of Joint Lesions in Patients with Rheumatoid Arthritis |
ZHOU Meixia, et al |
Shenyang Maternal and Child Health Hospital, Liaoning Shenyang 110000, China |
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Abstract Objective: To explore the ultrasonic characteristics and diagnostic value of joint lesions in patients with rheumatoid arthritis (RA). Methods: The clinical data of 60 RA patients (observation group) who were admitted to the hospital from January 2018 to January 2020 were retrospectively analyzed. Another 50 healthy people who underwent physical examination in the hospital during the same period were enrolled as control group. All underwent ultrasound examination. The ultrasonic features of joint lesions were observed. The synovial thickness, depth of joint fluid and bursa suprapatellaris fluid, and blood flow index of synovial artery were compared between the two groups. Results: In observation group, there were 54 patients with irregular synovial thickness, whose surface was rough. There were villi-like structures protruding into the effusion synovial cavity. There were 48 cases with blood flow signals and 50 cases with different degree of joint fluid, which was located at bursa suprapatellaris. There were 15 patients with blurred knee articular cartilage edge, cartilages were thinned, and cartilage surface was rough. There was worm-bittenlike damage of cartilage bone in some patients. Depth of bursa suprapatellaris fluid, synovial thickness and depth of joint fluidin observation group were higher than those in control group, while blood flow index of synovial artery was lower than that in control group (P<0.05). The detection rates of intra-synovial blood flow in knee, bursa suprapatellaris fluid and synovial thickening in observation group were 80.00%, 83.33%and 90.00%, respectively. Conclusion: Ultrasound has a high detection rate in early knee joint lesions in RA patients, which can accurately reflect pathological changes, and provide reference for clinical treatment.
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[1] 邵克忠,陈利民,李素蘋,等.超声造影在类风湿关节炎腕关节炎活动期病变中的诊断价值[J].中华全科医学,2018,16(6):124~126,179. [2] Aydin C,Ozdemir D,Sacikara M,et al.A new approach for standardization and increased accuracy of lymph node washout thyroglobulin in patients with differentiated thyroid carcinoma[J].Diagn Cytopathol,2016,44(3):177~186. [3] 周旭,王雪梅,张向阳,等.高频超声在类风湿性关节炎腕关节和指关节早期病变中的应用价值[J].宁夏医科大学学报,2019,41(3):312~315. [4] 中华医学会风湿病学分会.类风湿关节炎诊断及治疗指南[J].中华风湿病学杂志,2010,14(4):265~270. [5] 刘欢颜,杜建文,王洪,等.三种超声检查方法对RA患者膝关节滑膜血管翳检查结果的比较[J].中国超声医学杂志,2019,35(1):74~76. [6] 张玮婧,金志斌,孔文韬,等.类风湿性关节炎腕关节滑膜超声造影定性与定量分析及临床应用价值[J].中华超声影像学杂志,2018,27(12):1084~1088. [7] 汤晓菲,丁秋玲,孙鹏飞,等.膝类风湿关节炎与骨关节炎的MRI及超声表现分析[J].北京医学,2019,41(7):538~541. [8] Tingting L,Man L,Jun S,et al.Improvement to ultrasonographical differential diagnosis of gastric lesions: the value of contrast enhanced sonography with gastric distention[J].Plos One,2017,12(8):e0182332. [9] 宋佳,杜引会,张巧娟,等.类风湿性关节炎肩关节高频超声评分与多项血清学指标的相关性分析[J].中华实用诊断与治疗杂志,2017,31(10):1011~1013. |
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