肌腱附着点超声对强直性脊柱炎早期诊断的应用价值

The application value of tendon attachment point ultrasound in the early diagnosis of ankylosing spondylitis

目的探讨强直性脊柱炎早期诊断中肌腱附着点超声的应用价值。方法回顾性选取2018年1月至2020年1月我院强直性脊柱炎患者60例,将这些患者作为病例组,另回顾性选取同期我院健康体检人员60例为健康组,均接受超声检查,分析两组人员的肌腱厚度、超声检出的异常肌腱端数、异常项目数、肌腱端异常声像指标。结果病例组患者右侧冈上肌肌腱止点的肌腱厚度显著高于健康组(P<0.05)。病例组患者超声检出的异常肌腱端数372个、异常项目数500个,健康组超声检出的异常肌腱端数66个、异常项目数74个,前者均显著多于后者(P<0.05)。病例组患者超声检出的股四头肌肌腱止点、髌腱起点、髌腱止点、跟腱止点、肱二头肌长头腱止点、冈上肌肌腱止点的异常肌腱端数、异常项目数均显著多于健康组(P<0.05)。病例组患者超声检出的肌腱端异常声像指标500个,健康组超声检出的肌腱端异常声像指标74个,前者显著多于后者(P<0.05);病例组患者肌腱端肌腱增厚、滑膜炎、骨皮质破坏、血流信号的超声检出率均显著高于健康组(P<0.05)。结论强直性脊柱炎早期诊断中肌腱附着点超声的应用价值高。

Objective To explore the application value of tendon attachment point ultrasound in the early diagnosis of ankylosing spondylitis.Methods A total of 60 patients with ankylosing spondylitis in our hospital from January 2018 to January 2020 were retrospectively selected.These patients were selected as the case group,and 60 cases of health examination personnel in our hospital during the same period were retrospectively selected as the healthy group.All patients received ultrasound examination.The thickness of the tendon,the number of abnormal tendon ends detected by ultrasound,the number of abnormal items,and the abnormal sound image index of the tendon ends of the two groups were statistically analyzed.Results The thickness of the right supraspinatus tendon in the case group was significantly higher than that in the healthy group(P<0.05).The number of the abnormal tendon ends and abnormal items detected by ultrasound in the case group was 372 and 500,higher than that(66 and 74)in the healthy group(P<0.05).The number of abnormal tendon ends and abnormal items of the quadriceps femoris tendon endpoint,the patellar tendon starting point,the patellar tendon endpoint,the Achilles tendon endpoint,the biceps long head tendon endpoint,and the supraspinatus tendon endpoint detected by ultrasound in the case group was significantly more than that of the healthy group(P<0.05).There were 500 abnormal sound image indexes of the tendon end detected by ultrasound in the case group,significantly higher than 74 abnormal sound image indexes of the healthy group(P<0.05).The ultrasound detection rate of tendon end thickening,synovitis,bone cortex destruction,and blood flow signal was significantly higher than that of the healthy group(P<0.05).Conclusion In the early diagnosis of ankylosing spondylitis,ultrasound of the tendon attachment point is of high application value.