摘要: |
【】目的 研究高频超声、X线及MRI对银屑病关节炎踝关节病变的诊断价值及不足。方法 对30例银屑病关节炎的患者分别进行超声、X线和MRI检查,对三者结果进行比较。 结果 高频超声表现为滑膜增厚的6例,骨质侵蚀的2例,关节腔积液的5例,腱鞘炎的6例;X线表现为骨质侵蚀的2例;MRI表现为滑膜增厚的3例,骨质侵蚀的2例,骨髓水肿的6例,关节腔积液的8例。X线与高频超声、MRI对比检出病变数比较,仅能检出2例关节骨质破坏,对于关节外病变显示不佳。高频超声与MRI对比检出病变数无统计学意义(P>0.05)。高频超声可检出踝关节附着点炎,X线能显示踝关节骨质病变,但MRI可检测踝关节腔内病变。结论 超声能够发现银屑病关节炎踝关节病变的腔外病变,MRI对于腔内病变更有优势,相比于X线,两者更能准确、全面的诊断PsA病变程度。 |
关键词: 银屑病关节炎,高频超声,踝关节 |
DOI: |
投稿时间:2017-06-29修订日期:2017-09-04 |
基金项目:国家自然科学基金81401416 王晶 宋宏萍* 庞丽娜 |
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Comparison and Analysis on the Diagnostic Value of Ultrasound,X-ray and MRI for psoriatic arthritis of ankle lesions |
wangjing,Song hongping |
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Abstract: |
【】Objective This study intended to investigate the diagnostic and deficiency of high frequency ultrasound, X-ray and MRI in the diagnosis of psoriatic arthritis ankle lesions.Methods 30 patients with psoriatic arthritis ultrasoound, X-ray and MRI respectively, comparing with the result of the three.Results High frequency ultrasound find 6 cases of synovial thickening,2 cases of bone erosion, 5 cases of articular cavity effusion, 6 cases of tenosynovitis;MRI for synovial thickening of the 3 cases, 2 cases of bone erosion, 6 cases of bone marrow edema, 8 cases of articular cavity effusion.Comparison with high frequency ultrasoundan MRI ,X-ray can only be detected 2 cases of joint bone destruction, lesions show poor outside the joints.High frequency ultrasound and pathological changes of MRI contrast detection number has no statistical significance (P > 0.05).High-frequency ultrasound can detect inflammatory ankle attachment points, x-rays can show the ankle bone lesions, but MRI detects the ankle joint cavity lesions.Conclusions Ultrasound can find psoriatic arthritis ankle lesions outside the cavity lesions, MRI are more advantages for intracavity lesions, compared to X-Ray, the more accurate and comprehensive diagnosis of PsA lesion severity. |
Key words: Psoriatic arthritis,high frequency ultrasonic,ankle joint |