本文選題：膝關(guān)節(jié) + 關(guān)節(jié)炎　； 參考：《重慶醫(yī)學(xué)》2017年21期

【摘要】：目的探討膝關(guān)節(jié)類風(fēng)濕關(guān)節(jié)炎超聲診斷的價值及超聲評分系統(tǒng)的臨床意義。方法收集2013年7月至2015年12月麗水市兩家三級甲等綜合醫(yī)院膝關(guān)節(jié)類風(fēng)濕關(guān)節(jié)炎患者500例作為觀察組,另收集同期健康成人500例作為對照組。觀察兩組膝關(guān)節(jié)滑膜厚度、增生滑膜內(nèi)血管檢出率、超聲評分、類風(fēng)濕性關(guān)節(jié)炎疾病活動度評分、C反應(yīng)蛋白、紅細(xì)胞沉降率、髕上囊積液、髕下囊積液、關(guān)節(jié)腔積液、膝關(guān)節(jié)軟骨和骨表面情況。結(jié)果與對照組比較,觀察組膝關(guān)節(jié)滑膜厚度[(0.50±0.19)cmvs.(0.13±0.05)cm,P=0.000]、髕上囊液體深度[(0.62±0.27)cmvs.(0.23±0.05)cm,P=0.000]、髕下囊液體深度[(0.58±0.12)cmvs.(0.21±0.04)cm,P=0.000]、關(guān)節(jié)腔液體深度[(0.48±0.28)cmvs.(0.12±0.08)cm,P=0.000]、紅細(xì)胞沉降率[(43.29±12.58)mm/h vs.(12.95±4.39)mm/h,P=0.000]、C反應(yīng)蛋白水平[(8.95±3.29)mg/L vs.(3.29±1.54)mg/L,P=0.000]、增生滑膜內(nèi)血管檢出率(84.20%vs.13.00%,P=0.000)均明顯增加。且超聲評分與類風(fēng)濕關(guān)節(jié)炎患者類風(fēng)濕關(guān)節(jié)炎疾病活動度評分、C反應(yīng)蛋白水平、紅細(xì)胞沉降率、髕上囊液體深度、髕下囊液體深度和關(guān)節(jié)腔液體深度均呈正相關(guān)(r=0.583、0.258、0.383、0.219、0.228、0.248,均P0.05)。結(jié)論超聲在類風(fēng)濕性關(guān)節(jié)炎中具有良好的診斷價值,超聲評分系統(tǒng)可以較好地反映患者的疾病嚴(yán)重度。
[Abstract]:Objective to evaluate the value of ultrasonography in the diagnosis of rheumatoid arthritis of knee joint and the clinical significance of ultrasonic scoring system. Methods from July 2013 to December 2015, 500 patients with rheumatoid arthritis of knee joint in two general hospitals of Grade 3A in Lishui City were collected as observation group and 500 healthy adults as control group. The thickness of synovial membrane of knee joint, the detectable rate of intrasynovial vessels in hyperplastic synovium, ultrasound score, activity score of rheumatoid arthritis (RA), C-reactive protein, erythrocyte sedimentation rate, suprapatellar sac effusion, infrapatellar sac effusion and articular effusion were observed. Articular cartilage and bone surface. 緇撴灉涓庡鐓х粍姣旇緝,瑙傚療緇勮啙鍏寵妭婊戣啘鍘氬害[(0.50鹵0.19)cmvs.(0.13鹵0.05)cm,P=0.000],楂屼笂鍥婃恫浣撴繁搴(0.62鹵0.27)cmvs.(0.23鹵0.05)cm,P=0.000],楂屼笅鍥婃恫浣撴繁搴(0.58鹵0.12)cmvs.(0.21鹵0.04)cm,P=0.000],鍏寵妭鑵旀恫浣撴繁搴(0.48鹵0.28)cmvs.(0.12鹵0.08)cm,P=0.000],綰㈢粏鑳?yōu)娌夐檷鐜嘯(43.29鹵12.58)mm/h vs.(12.95鹵4.39)mm/h,P=0.000],C鍙嶅簲铔嬬櫧姘村鉤[(8.95鹵3.29)mg/L vs.(3.29鹵1.54)mg/L,P=0.000],澧炵敓婊戣啘鍐呰綆℃鍑虹巼(84.20%vs.13.00%,P=0.000)鍧囨槑鏄懼鍔，

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