| 朱丽容,唐毅,肖欢,高洋.肌肉骨骼超声评价幼年特发性关节炎[J].中国医学影像技术,2016,32(6):941~943 |
| 肌肉骨骼超声评价幼年特发性关节炎 |
| Musculoskeletal ultrasound in evaluation of juvenile idiopathic arthritis |
| 投稿时间：2015-10-12 修订日期：2016-04-25 |
| DOI：10.13929/j.1003-3289.2016.06.033 |
| 中文关键词: 超声检查 儿童 关节炎 关节 |
| 英文关键词:Ultrasonography Child Arthritis Joint |
| 基金项目:重庆市卫生计生委医学科研项目(2015MSXM038)。 |
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| 中文摘要: |
| 目的 探讨肌肉骨骼超声评价幼年特发性关节炎(JIA)的价值。方法 收集74例确诊为JIA的患儿,进行超声检查,分别检测双侧肩、肘、腕、掌指关节,近端指间关节,髋、膝、踝关节和跖趾关节,共42个关节。分析声像图特征,并与其临床体格检查、MR检查资料进行对比分析。结果 74例患儿均接受体格检查。体格检查中50.00%(37/74)患儿无关节受累,但其中83.78%(31/37)超声检查为阳性。共对31个关节同时进行MR检查,仅同1个患儿的2个关节超声结果与MRI不一致。JIA患儿超声图主要表现为滑膜增生、关节腔积液、肌腱炎、腱鞘炎、附着点炎、滑囊炎、软骨改变和骨侵蚀。结论 肌肉骨骼超声评价JIA关节病变的敏感度高,可作为临床诊断JIA关节病变的首选检查方法。 |
| 英文摘要: |
| Objective To explore the value of musculoskeletal ultrasound evaluation of juvenile idiopathic arthritis (JIA). Methods Seventy-four pediatric patients with JIA was examined by ultrasound. Forty-two joints were evaluated, including bilateral shoulders, elbows, wrists, first to fifth metacarpophalangeal joints and first to fifth proximal interphalangeal joints of hand, hip, knees, ankles, first to fifth metatarsophalangeal joints. The ultrasonic characteristics were analyzed, and contrastive analysis was carried out with physical examination and MR examination. Results Of all 74 pediatric patients accepted physical examination. 50.00% (37/74) pediatric patients had no involved joint, but 83.78% (31/37) was positive in ultrasonic examination. Totally 31 joints was examined by MRI at the same time, only two joints of the same pediatric patient examined by ultrasound were not agree with the result of MR examination. The ultrasonographic manifestations of JIA pediatric patients were synovial hyperplasia, arthroedema, tendonitis, tenosynovitis, enthesitis, bursitis, cartilage damage and bone erosion. Conclusion Musculoskeletal ultrasound is highly sensitive for evaluating JIA joint lesion, and can be used as the first choice to evaluate JIA joint lesion in clinical. |
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