發(fā)布時(shí)間：2018-05-24 19:12

  本文選題：關(guān)節(jié)超聲評(píng)分 + 關(guān)節(jié)炎��； 參考：《中國(guó)介入影像與治療學(xué)》2017年09期

【摘要】：目的探討7關(guān)節(jié)超聲評(píng)分系統(tǒng)(US7)評(píng)估中西醫(yī)治療類(lèi)風(fēng)濕性關(guān)節(jié)炎(RA)臨床療效的價(jià)值。方法根據(jù)治療方法不同將160例RA患者分為益腎清絡(luò)活血方(YSQL)治療組和單純西醫(yī)治療組,分別于治療前、治療后3個(gè)月及6個(gè)月進(jìn)行灰階超聲(GSUS)、能量多普勒超聲(PDUS)檢查及7關(guān)節(jié)超聲評(píng)分(US7)。7個(gè)關(guān)節(jié)即腕關(guān)節(jié),第2、3掌指關(guān)節(jié)(MCPⅡ/Ⅲ)及近端指間關(guān)節(jié)(PIPⅡ/Ⅲ),第2、5跖趾關(guān)節(jié)(MTPⅡ/Ⅴ)。評(píng)分項(xiàng)目包括GSUS滑膜炎、PDUS滑膜炎、GSUS肌腱/腱鞘炎、PDUS肌腱/腱鞘炎、骨侵蝕(ES)。同時(shí)進(jìn)行C-反應(yīng)蛋白(C-RP)及血沉(ESR)檢測(cè)及28關(guān)節(jié)疾病活動(dòng)度(DAS28)評(píng)價(jià)。結(jié)果 YSQL治療組和單純西醫(yī)治療組RA患者治療前、治療后3個(gè)月及6個(gè)月US7系統(tǒng)中GSUS滑膜炎、PDUS滑膜炎、GSUS肌腱/腱鞘炎、PDUS肌腱/腱鞘炎評(píng)分差異均有統(tǒng)計(jì)學(xué)意義(P均0.01)。所有患者治療前后ES差異均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。治療后US7的指標(biāo)與DAS28、C-RP、ESR呈不同程度的正相關(guān)。結(jié)論 US7可為臨床評(píng)估中西醫(yī)治療RA的療效提供依據(jù)。
[Abstract]:Objective to evaluate the clinical efficacy of 7 joint ultrasound scoring system (US7) in the treatment of rheumatoid arthritis (RA). Methods 160 patients with RA were divided into two groups according to different treatment methods: YSQLtreated group, YSQLtreated group, and western medicine group, before treatment. Three months and six months after treatment, gray scale ultrasound (GST) and energy Doppler ultrasound (PDU) were performed, and 7 joints were evaluated with US7. 7 joints were wrist joints. MCP 鈪，

本文編號(hào)：1930226