论文部分内容阅读
目的改良的7关节半定量法超声对类风湿关节炎(RA)患者治疗前后评估的实际应用价值。方法以临床DAS28值、ESR、CRP为对照标准,对患者行病变较重侧腕,第2、3掌指,第2、3指指,第2、5跖趾关节的二维及能量多普勒超声检查,以每个关节所见病变最严重情况计分,7个关节累加,比较治疗前后的差异。结果 31例RA患者治疗前后二维超声滑膜炎、能量多普勒超声滑膜炎、二维超声腱鞘炎,能量多普勒超声腱鞘炎评分与临床DAS28值、ESR,CRP均明显下降,差异有显著意义。结论改良的7关节半定量法超声对类风湿关节炎患者治疗前后的评估具有良好的实用价值。
Objective To evaluate the practical value of modified semi-quantitative 7-joint ultrasound in the evaluation of patients with rheumatoid arthritis (RA) before and after treatment. Methods The clinical DAS28 values, ESR and CRP were used as the control standards. The patients underwent pathological changes in the right wrist, the second and third fingers, the second and third fingers, the second and fifth metatarsophalangeal joints, Ultrasonography was performed to score the most serious lesions seen in each joint. Seven joints were summed up to compare differences between before and after treatment. Results The results of two-dimensional ultrasound synovitis, energy Doppler ultrasound synovitis, two-dimensional ultrasound tenosynovitis, tenosynovitis with Doppler ultrasound, clinical DAS28, ESR and CRP before and after treatment in 31 patients with RA were significantly decreased significance. Conclusion The modified 7-joint semi-quantitative ultrasound has good practical value in the evaluation of patients with rheumatoid arthritis before and after treatment.