本文選題：銀屑病關節(jié)炎 + 超聲檢查��； 參考：《中國醫(yī)學影像技術》2015年07期

【摘要】：目的探討超聲對銀屑病關節(jié)炎(PsA)的診斷價值。方法收集我院門診及住院PsA患者32例,所有患者均接受超聲及體格檢查,包括雙側(cè)手足小關節(jié)、指甲及下肢主要附著點(股四頭肌腱、髕韌帶、跟腱及跖筋膜附著端)等,分別觀察并計數(shù)上述關節(jié)、附著點及指甲受累情況,并進行統(tǒng)計學分析。結(jié)果體格檢查發(fā)現(xiàn)406個(406/1792,22.66%)關節(jié)病變,79個(79/320,24.69%)附著點炎,84個(84/320,26.25%)指甲病變;超聲檢查發(fā)現(xiàn)492個(492/1792,27.46%)關節(jié)病變,166個(166/320,51.88%)附著點炎,203個(203/320,63.44%)指甲病變;超聲檢查陽性率均高于體格檢查(P均0.001)。結(jié)論超聲能早于體格檢查發(fā)現(xiàn)PsA患者關節(jié)、附著點及指甲病變,超聲對PsA的診斷具有重要價值。
[Abstract]:Objective to investigate the diagnostic value of ultrasound in psoriatic arthritis (PsA). Methods 32 cases of PsA were collected. All the patients received ultrasound and physical examination, including bilateral facet joints of hand and foot, main attachment points of nail and lower extremity (quadriceps femoris tendon, patellar ligament, Achilles tendon and metatarsal fascia attachment). The joint, attachment point and nail involvement were observed and counted respectively and analyzed statistically. Results physical examination revealed 406 lesions of 406 / 1792x 22.66) of joints, 79 of 79 / 320 / 320-24.69) attachment point inflammation, 84 / 84 / 320,26.25) of nail lesions; 492 lesions of 492 / 492 / 1792or 27.46) joints, 166 / 166 / 32051.88) adhesion points, 203 / 203 / 203 / 320 / 63.44) nail lesions; the positive rate of ultrasound examination was all higher than that of physical examination (P = 0.001, P = 0.001, P < 0. 001respectively), and the positive rate of ultrasound examination was higher than that of physical examination (P < 0. 001P = 0. 001P = 0. 001P = 0. 001P = 0. 001P = 0. 001P = 0. 001P). Conclusion Ultrasound can find joint, attachment and nail lesions in PsA patients earlier than physical examination. Ultrasound has important value in the diagnosis of PsA.
【作者單位】： 川北醫(yī)學院研究生院;四川省醫(yī)學科學院四川省人民醫(yī)院超聲科;四川省醫(yī)學科學院四川省人民醫(yī)院皮膚科;
【分類號】：R684.3;R445.1

【共引文獻】

相關期刊論文 前1條

1 Jung-Tai Liu;Horng-Ming Yeh;Shyun-Yeu Liu;Kow-Tong Chen;;Psoriatic arthritis: Epidemiology, diagnosis, and treatment[J];World Journal of Orthopedics;2014年04期

【相似文獻】

相關期刊論文 前10條

1 彭強;鄭剛;王新波;;8例銀屑病關節(jié)炎手部X線表現(xiàn)[J];中國傷殘醫(yī)學;2007年01期

2 江從軍;張汝芝;;銀屑病關節(jié)炎的治療進展[J];中華全科醫(yī)學;2008年11期

3 董立華;;銀屑病關節(jié)炎的護理體會[J];中國當代醫(yī)藥;2012年36期

4 劉承煌;;關于銀屑病關節(jié)炎的分類問題[J];國外醫(yī)學參考資料.皮膚病學分冊;1978年02期

5 汪國生,陳炯;銀屑病關節(jié)炎32例報告[J];臨床誤診誤治;2000年05期

6 張p，

本文編號：1893970