超声在早期类风湿性关节炎手关节病变诊断的初步研究

Study of ultrasonography in diagnosis of hand joints of early rheumatoid arthritis

目的:探讨彩色多普勒超声在早期类风湿性关节炎手部小关节病变中的应用价值。方法:超声检查32例患者双手腕关节、掌指关节及近端指间关节(共704个关节)。结果:32例病例中滑膜增生水肿28例共210个关节,关节腔积液25例共88个关节,滑膜血管翳8例共15个关节,关节周围渗出5例共5个关节,骨破坏3例共11个关节。结论:彩色多普勒超声可为临床诊断类风湿性关节炎早期手部小关节滑膜病变提供诊断依据。

Objective： To investigate the value of colour Doppler ultrasound in examination of early erosions of hand joints in rheumatoid arthritis （RA）. Methods：Wrist,metacarpophalangeal （MCP）and proximal interphalangeal（PIP）joints of 32 RA patients（704 joints）were examined by colour Doppler uhrasonography. Results： Synovitis of joints were found in 28 RA patients 25patients （88 joints）, pannus were detected in 8 patients （210 joints）, intra-articular fluid was found in （ 15 joints）, periarticular inflammation tissue was detected in 5 （5 joints）, and bone erosions were found in 3 （11 joints）. Conclusion： Diagnosis in colour Doppler ultrasound can be reliable in examining the hand joints damage of early RA patients. It can provide a reference for clinical diagnosis of RA.