【摘 要】
：
目的：探讨高频彩色多普勒及能量多普勒超声在早期诊断类风湿关节炎(RA)患者手指关节病变中的价值。方法 选取病程小于6个月, 满足1987年ACR修订的RA分类标准的确诊RA组患者50例,入组时进行临床、实验室及影像学检查。健康志愿者30例,分别应用高频彩色及能量多普勒超声观察双手掌指关节和近端指间关节,测量滑膜厚度,检测有无肌腱、关节腔和骨质病变并观察血流分布情况。结果 RA患者89％存在滑膜增生
【出 处】
：
中国超声医学工程学会成立30周年暨第十二届全国超声医学学术大会
论文部分内容阅读
目的：探讨高频彩色多普勒及能量多普勒超声在早期诊断类风湿关节炎(RA)患者手指关节病变中的价值。方法 选取病程小于6个月, 满足1987年ACR修订的RA分类标准的确诊RA组患者50例,入组时进行临床、实验室及影像学检查。健康志愿者30例,分别应用高频彩色及能量多普勒超声观察双手掌指关节和近端指间关节,测量滑膜厚度,检测有无肌腱、关节腔和骨质病变并观察血流分布情况。结果 RA患者89％存在滑膜增生,11例存在肌腱病变,有9例可见少量关节腔积液,7例出现关节骨质侵蚀,同时彩色超声表现33例关节滑膜血管过度形成(血管翳)。结论：高频超声检查可早期发现RA的滑膜增生等病变,双手指关节的彩色超声检查有助于RA的早期诊断。
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