| 摘要: |
| 目的 探讨超声评分法诊断强直性脊柱炎髋关节受累的应用价值。方法 对86例强直性脊柱炎髋关节受累的患者分别按照髋关节囊及大转子肌腱端不同超声表现进行评分，分析髋关节超声与临床、实验室指标的相关性，评价超声评分法诊断髋痛患者的可行性。结果 ①既往髋痛病史与软骨损伤相关性最高(r＝0.509，P＜0.01)；髋关节内旋和外旋疼痛与滑膜内血流相关性最高(r＝0.550，P＜0.01),与滑膜增厚和积液低度相关(r＝0.416、0.336，P＜0.01)；大转子压痛与附着端血流低度相关(r＝0.475，P＜0.01)。②髋关节囊评分与VAS和ASDAS-CRP评分呈显著相关(r=0.784、0.624，P＜0.01)。结论 超声评分中髋关节囊评分与临床评分及实验室指标相关性最高，可在一定程度上应用于髋关节受累的患者，超声单个项指标中滑膜内血流最能提示疾病活动性。 |
| 关键词: 超声 强直性脊柱炎 髋关节 |
| DOI： |
| 投稿时间：2021-07-28修订日期：2022-03-14 |
| 基金项目: |
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| Application of ultrasound score to diagnosis hip involvement in ankylosing spondylitis |
| wangting,Nie Fang,Zhang Si Gong,Shen Xue Jiao,zhurong,Wang Yuan,Li Yan |
| (Lanzhou University Second Hospital) |
| Abstract: |
| Objective To evaluate diagnostic value of hip joint involvement in ankylosing spondylitis by ultrasound score. Methods 86 cases of ankylosing spondylitis patients with hip joint involvement were scored according to the different ultrasound findings of the hip joint capsule and enthesopathy of greater trochanter tendon. The correlation among ultrasound of hip joint and clinical and laboratory indexes were analyzed，and evaluate the feasibility of ultrasound scores
in diagnosing hip pain with patients. Results ①The history of hip pain was the highest correlation with cartilage damage (r＝0.509, P＜0.01)；Internal and external rotation were the highest correlation with intra-synovial Doppler signal(r＝0.550，P＜0.01), the low correlation with synovial hypertrophy and capsule effusion(r＝0.416、0.336，P＜0.01), and the greater trochanter tenderness was lowly correlated with enthesial blood flow signal (r＝0.475，P＜0.01);②VAS and ASDAS-CRP were significantly correlated with hip joint capsule and overall ultrasound scores (r=0.784, 0.624, P＜0.01). Conclusion. The hip joint capsule score has the highest correlation with clinical scores and laboratory indicators in the ultrasound scores, and can be used to patients with hip joint involvement to a certain extent. The intra-synovial blood flow is the most indicative of disease activity in the ultrasound scores. |
| Key words: Ultrasonography Ankylosing spondylitis Hip joint |
