摘要
目的探讨血友病性关节超声评估量表(HEAD-US-C)评分与其临床功能评分的相关性。方法采用HEAD-US-C评分对40例男性血友病患者的240个膝、肘、踝关节进行超声评分,并采用血友病性关节健康评估表(HJHS)2.1版及功能独立性评分表(FISH)对其关节临床功能情况进行评估。根据凝血因子缺乏的类型将40例血友病患者分为A型32例和B型8例,比较不同类型血友病患者HEAD-US-C评分、HJHS评分、FISH评分;分析HEAD-US-C评分与HJHS评分、FISH评分间的相关性。结果40例患者共240个关节,HEAD-US-C评分为22.50(8.00,30.50),HJHS评分为31.50(15.50,46.75),FISH评分为27.00(21.50,32.00)。不同类型血友病患者间的HEAD-US-C评分、HJHS评分、FISH评分比较差异均无统计学意义。40例血友病患者HEAD-US-C评分与HJHS评分呈正相关(r=0.884,P<0.001),与FISH评分呈负相关(r=-0.825,P<0.001)。结论HEAD-US-C评分与HJHS评分和FISH评分均有较好的相关性,可以客观评估血友病患者关节损伤情况,为临床提供参考信息。
Objective To explore the correlation between hemophilic early arthropathy detection with ultrasound in China(HEAD-US-C)score and the clinical function score in hemophiliacs joints.Methods A total of 240 knee,elbow and ankle joints of 40 male hemophilia patients were evaluated by HEAD-US-C score,the joints’function was evaluated by hemophilia joint health scores(HJHS)2.1 and the functional independence score for haemophilia(FISH).The correlation between HEAD-US-Cscore and HJHS score,FISH score were analyzed.According to the type of deficiency of coagulation factors,40 hemophilia patients were divided into type A(n=32)and type B(n=8),then they were to be analyzed whether there were differences among different types of hemophilia patients in HEAD-US-C score,HJHS score and FISH score.Results In the 240 joints of 40 patients,HEAD-US-C score was 22.50(8.00,30.50),HJHS score was 31.50(15.50,46.75),and FISH score was 27.00(21.50,32.00).There were no significant differences in different types of hemophilia patients in HEAD-US-C score,HJHS score and FISH score.There was a positive correlation between HEAD-US-C score and HJHS score(r=0.884,P<0.001),and a negative correlation between HEAD-US-C score and FISH score(r=-0.825,P<0.001)in 40 hemophilia patients.Conclusion HEAD-US-C score has a good correlation with HJHS score and FISH score,and ultrasound can provide more objective evaluation of joint injury.
作者
方云梅
郭玉林
秦婷
栾宇婷
张翠明
FANG Yunmei;GUO Yulin;QIN Ting;LUAN Yuting;ZHANG Cuiming(Department of Medical Imaging,Shanxi Medical University,Taiyuan 030000,China)
出处
《临床超声医学杂志》
CSCD
2020年第7期510-514,共5页
Journal of Clinical Ultrasound in Medicine
关键词
超声检查
血友病
关节超声评估量表
关节健康评估表
功能独立性评分表
Ultrasonography
Hemophilia
Hemophilic early arthropathy detection with ultrasound in China score
Hemophilia joint health scores
Functional independence score for haemophilia