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目的:探讨高频超声在膝关节骨性关节炎的超声影像表现。方法对63例临床确诊的膝骨性关节炎患者进行超声检查,观察滑膜厚度、骨质连续性是否完整、软骨厚度及回声、关节腔内液体深度、有无游离体、半月板、韧带和肌腱的形态及回声等,彩色多普勒超声检测增生滑膜的血流分布情况。结果63例膝骨性关节炎患者均有不同程度的异常改变。结论①能显示关节软骨及周围软组织情况,②能显示关节积液、Baker囊肿,③滑膜增厚,彩色多普勒对增厚滑膜血流分布的丰富程度具有一定临床意义,④高频超声是膝关节骨性关节炎诊断和评价治疗效果的重要辅助检查手段。“,”Objective Discussing the ultrasonic image of high-frequency ultrasonography in osteoarthritis of knee joint.Methods Examining 63 cases of clinical diagnosed OA patients by the ultrasound to observe the synovial membrane thickness, the integrity of the bone continuity, the thickness of cartilage and echoes, the liquid depth in articular cavity, the presence of loose bodies and meniscus, the morphology of ligaments and tendons and echoes. Color Doppler ultrasound test the blood distribution of synovial hyperplasia.Results 63 patients of knee osteoarthritis all have different degree of abnormal changes.Conclusion ①It can display the situation of articular cartilage and surrounding soft tissue by high-frequency ultrasonography.②It can reveal the joint effusion and Baker cyst. ③Synovial thickening, Color Doppler has a certain clinical significance in analyzing the richness of blood distribution of the thickening membrane. ④High-frequency ultrasonography is an important auxiliary examination way in diagnosing osteoarthritis of knee joint and evaluating the therapeutic effect.