本文選題：類風濕關節(jié)炎 + 超聲檢查　； 參考：《山東醫(yī)藥》2016年11期

【摘要】：目的觀察早期類風濕性關節(jié)炎(RA)患者手腕關節(jié)超聲檢查結果。方法早期RA的30例患者(RA組),應用高頻彩色多普勒超聲觀察腕關節(jié)、掌指關節(jié)及近端指間關節(jié)共660處,測量關節(jié)積液及滑膜厚度,觀察滑膜內血流特點,手背及手掌側均行檢查,并與10例健康者(對照組)雙側相應關節(jié)220處檢查結果進行對照。結果RA組手背側、手掌側關節(jié)積液總檢出率分別為14%、26%,滑膜增生總檢出率分別為33%、11%,兩者比較,P均0.05。RA組146個關節(jié)增厚滑膜中可檢出血流信號,檢出率51%。結論類風濕疾病累及手部小關節(jié)時,手背側超聲檢查更易檢出滑膜增生,手掌側更易檢出關節(jié)積液,手背及手掌側手腕關節(jié)均行檢查可以更全面了解病情。
[Abstract]:Objective to observe the results of wrist joint ultrasonography in patients with early rheumatoid arthritis (RA). Methods the wrist joint, metacarpophalangeal joint and proximal interphalangeal joint were observed by high frequency color Doppler ultrasound in 30 patients with early RA. The thickness of synovial fluid and synovial membrane were measured, and the characteristics of intrasynovial blood flow were observed. The dorsal and palmar sides of the hand were examined, and the results were compared with those of 10 healthy subjects (control group). Results in RA group, the total detectable rates of hand dorsal and palmar joint effusion were 1426g, and the total detectable rate of synovial hyperplasia were 331.The results were compared with that in 0.05.RA group (P < 0.05). The bleeding flow signals were detected in 146 joints thickened synovium in 0.05.RA group, and the detectable rate was 51%. Conclusion when rheumatoid diseases involve the facet joints of the hand, the synovial hyperplasia is more easily detected by ultrasonic examination on the dorsal side of the hand, and the effusion of the joint on the palmar side is easier to be detected. The condition of the hand can be understood more comprehensively by the examination of both the dorsal and the palmar wrist joints.
【作者單位】： 青島大學附屬醫(yī)院;濟寧醫(yī)學院附屬醫(yī)院;
【基金】：山東省醫(yī)藥衛(wèi)生科技發(fā)展計劃項目(2013WS0338) 濟寧醫(yī)學院附屬醫(yī)院苗圃科研項目(JYFY-MP-2013-MS-008)
【分類號】：R593.22

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