血友病性关节病超声评估操作指引

Practical Guidance for Ultrasonic Evaluation of Hemophilic Arthropathy

血友病性关节病是血友病最常见的并发症,也是血友病患者致残的主要因素。通过高分辨肌骨超声检查技术,可以快速量化评估血友病患者关节状况,提供关节损伤分级,进而为临床评估、治疗及预后提供依据和指导。规范化的超声检查操作和评分对于客观评价关节状况至关重要。本文详细介绍适合中国临床需求的血友病性关节病超声检查及评分方法,以期提高各血友病中心超声评估的一致性。

Hemophilic arthropathy is the most common complication of hemophilia and is also the main factor of disability in hemophilia patients. Using high-resolution musculoskeletal ultrasound examination technology, the joints of hemophilia patients can be rapidly evaluated and injury grade can be established, which can provide the basis and guidance for clinical evaluation, treatment and prognosis. Standardized ultrasound operation and scoring are very important for objective evaluation of joint condition. This paper introduces the ultrasonic examination and scoring method of hemophilic arthropathy which is suitable for the clinical needs of China in detail in order to improve the consistency of ultrasonic evaluation of hemophilia centers.