本文選題：尋常型銀屑病　切入點(diǎn)：關(guān)節(jié)型銀屑病　出處：《四川大學(xué)學(xué)報(bào)(醫(yī)學(xué)版)》2017年04期 　論文類型：期刊論文

【摘要】：目的探討并比較關(guān)節(jié)型銀屑病(PsA)及尋常型銀屑病(non-PsA)附著點(diǎn)炎的超聲特征。方法納入39例PsA患者(PsA組)、60例non-PsA患者(non-PsA組)及60例健康體檢者(對(duì)照組)為研究對(duì)象。二維及彩色多普勒超聲掃查雙側(cè)股四頭肌腱、髕腱、跟腱、跖筋膜、屈肌總腱及伸肌總腱附著處。比較各組附著點(diǎn)炎發(fā)生部位、累及百分率及不同超聲征象。結(jié)果對(duì)照組27例(45.00%)發(fā)生附著點(diǎn)炎,主要累及跟腱與股四頭肌腱,所有病變均無(wú)血流信號(hào)。non-PsA組38例(63.33%)發(fā)生附著點(diǎn)炎,主要累及跟腱與股四頭肌腱,4個(gè)病變部位具有血流信號(hào)。PsA組33例(84.62%)發(fā)生附著點(diǎn)炎,所有部位均可見累及,累及最多為跟腱、股四頭肌腱及跖筋膜,18個(gè)病變部位具有血流信號(hào)。附著點(diǎn)炎的累及百分率,PsA組non-PsA組對(duì)照組(P均0.01)。附著處肌腱回聲減弱及附著處骨皮質(zhì)表面骨贅,各組間差異無(wú)統(tǒng)計(jì)學(xué)意義;PsA組及non-PsA組附著處肌腱增厚發(fā)生率均高于對(duì)照組(P均0.01),但PsA組與non-PsA組間差異無(wú)統(tǒng)計(jì)學(xué)意義;附著處肌腱內(nèi)鈣化、骨皮質(zhì)表面骨侵蝕及肌腱內(nèi)血流信號(hào),PsA組高于non-PsA組及對(duì)照組(P0.01),non-PsA組與對(duì)照組間差異無(wú)統(tǒng)計(jì)學(xué)意義。結(jié)論正常人、non-PsA附著點(diǎn)炎好發(fā)于跟腱與股四頭肌腱;PsA附著點(diǎn)炎好發(fā)于跟腱、股四頭肌腱及跖筋膜。PsA患者附著點(diǎn)炎的發(fā)生率non-PsA患者正常人。PsA患者較另兩者更易發(fā)生鈣化和骨侵蝕,血供也更加豐富。
[Abstract]:Objective to investigate and compare the ultrasonic features of PsA (articular psoriasis) and non-PsA (common psoriasis vulgaris). Methods 39 PsA patients with PsA and 60 patients with non-PsA (non-PsA) and 60 healthy controls (control group) were included in the study. Quadriceps femoris tendons were examined by two-dimensional and color Doppler ultrasonography. Patellar tendon, Achilles tendon, metatarsal fascia, flexor tendon and extensor tendon were attached. All lesions had no attachment point inflammation in group .non-PsA (38 cases), mainly involving Achilles tendon and quadriceps femoris tendon, and 33 cases (84.62%) in 4 lesions. Blood flow signal was found in 18 lesions of quadriceps femoris tendon and metatarsal fascia. The incidence of tendon thickening in PsA group and non-PsA group was higher than that in control group (P < 0.01), but there was no significant difference between PsA group and non-PsA group. There was no significant difference between non-PsA group and control group in bone erosion and intratendinous blood flow signal in PsA group. Conclusion the non-PsA attachment in normal subjects is more common in Achilles tendon and quadriceps femoris tendon than in Achilles tendon. Incidence of attachment point inflammation in patients with quadriceps femoris tendon and metatarsal fascia. PsA patients with non-PsA were more prone to calcification and bone erosion and more abundant blood supply.
【作者單位】： 四川大學(xué)華西醫(yī)院超聲科;
【基金】：國(guó)家自然科學(xué)基金(No.81671696)資助
【分類號(hào)】：R445.1;R758.63

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