肌骨超声在银屑病性关节炎中的应用进展

Application progresses of musculoskeletal ultrasound in psoriatic arthritis

近年来肌骨超声不断发展,其对早期诊断炎症性关节病具有较高价值。银屑病性关节炎(PsA)是一种与银屑病密切相关的炎症性关节病,可累及全身大、小关节,外周关节、骶髂关节、脊柱易受累,病程迁延且易复发。其部分临床与影像学表现与类风湿性关节炎(RA)存在交叉,需鉴别诊断。本文对肌骨超声在PsA诊断及鉴别诊断中的应用进展进行综述。

With the continuous development of musculoskeletal ultrasound, ultrasound diagnosis of inflammatory arthri- tis, especially early diagnosis had an increasing important role. Psoriatic arthritis （PsA） was a kind of inflammatory arthri- tis, which was closely related with psoriasis. It could involve the whole body＇s large and small joints, especially peripheral joints （often asymmetric）, sacroiliac joint and spine. The course of PsA was protracted and easy to recur. Clinical and ima- ging manifestations of PsA are similar to rheumatoid arthritis （RA）, and need to identify diagnosis. The diagnosis and an- tidiastole in musculoskeletal ultrasound of PsA were reviewed in this article.