邱逦,罗燕,彭玉兰.超声对于类风湿性关节炎膝关节滑膜病变的研究[J].中国医学影像技术,2005,21(11):1732~1734
超声对于类风湿性关节炎膝关节滑膜病变的研究
Ultrasonographic study of knee joint's synovial lesions in rheumatoid arthritis
投稿时间:2005-07-18  修订日期:2005-09-10
DOI:
中文关键词:  高频超声  超声检查,多普勒,彩色  类风湿性关节炎  滑膜
英文关键词:High-frequency ultrasound  Ultrasonography, Doppler, color  Rheumatoid arthritis  Synovium
基金项目:
作者单位E-mail
邱逦 四川大学华西医院超声科,四川 成都 610041 wsqiuli@126.com 
罗燕 四川大学华西医院超声科,四川 成都 610041  
彭玉兰 四川大学华西医院超声科,四川 成都 610041  
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中文摘要:
      目的 应用超声研究类风湿性关节炎(RA)病人膝关节滑膜的病变。方法 通过高频超声及彩色多普勒超声对RA病例组(40例)与正常对照组(45例)的滑膜厚度进行对比观察,对RA组治疗前后滑膜厚度、滑膜彩色血流分级、阻力指数(RI)进行对比观察,并选取实验室资料C-反应蛋白(CRP)、红细胞沉降率(ESR)与滑膜厚度、滑膜彩色血流分级做相关分析。结果 RA组治疗前较对照组滑膜增厚 ,RA组治疗后髌上囊液体及滑膜厚度较治疗前变薄 ,滑膜动脉血流信号减少,RI增高 。对于RA
英文摘要:
      Objective To study the synovial lesions of knee joint of rheumatoid arthritis (RA) with ultrasound. Methods RA group (40 cases) and control group (45 cases) were examined by high-frequency and color Doppler ultrasound in synovial thickness. The thickness, color flow grading, resistance index (RI) of synovium of RA group were evaluated before and after therapy. The correlations between thickness, color flow grading of synovium and CRP/ESR were also analyzed. Results The synovium in RA group before therapeutics were thicker than that in control group ( mm vs mm). The thickness of synovium declined ( mm vs mm), color flow of synovium lowered, and RI rose up ( vs ) after therapy. Varying correlations were manifested between thickness of synovium, color flow grading of synovium and ESR/CRP in RA group. Conclusion Ultrasonography is valuable in detecting synovial lesions, therapeutic evaluation and activity judging of RA.
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