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[1]刁雪紅,申艷,詹嘉,等.超微血管成像技術(shù)對(duì)評(píng)估類風(fēng)濕性關(guān)節(jié)炎活動(dòng)性的價(jià)值[J].福建醫(yī)藥雜志,2022,44(01):5-8.
　DIAO Xuehong,SHEN Yan,ZHAN Jia,et al.Value of superb micro-vascular imaging in the assessment of rheumatoid arthritis activity[J].FUJIAN MEDICAL JOURNAL,2022,44(01):5-8.
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超微血管成像技術(shù)對(duì)評(píng)估類風(fēng)濕性關(guān)節(jié)炎活動(dòng)性的價(jià)值()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
44
期數(shù):
2022年01期
頁碼:
5-8
欄目:
臨床研究
出版日期:
2022-02-15

文章信息/Info

Title:
Value of superb micro-vascular imaging in the assessment of rheumatoid arthritis activity
文章編號(hào):
1002-2600(2022)01-0005-04
作者:
刁雪紅; 申艷1; 詹嘉; 陳林; 蔡劍飛1; 方靚; 張音佳1; 陳悅2
復(fù)旦大學(xué)附屬華東醫(yī)院超聲科(上海200040)
Author(s):
DIAO Xuehong;  SHEN Yan;  ZHAN Jia;  CHEN Lin;  CAI Jianfei;  FANG Liang; ZHANG YinJia;  CHEN Yue
Department of Ultrasound，Huadong Hospital of Fudan University, Shanghai 200040, China
關(guān)鍵詞:
類風(fēng)濕性關(guān)節(jié)炎; 超微血管成像技術(shù); 能量多普勒超聲; 超聲造影; 滑膜血流
Keywords:
RF;  SMI;  PDUS;  CEUS;  synovial blood flow
分類號(hào):
R445.1
文獻(xiàn)標(biāo)志碼:
B
摘要:
目的 對(duì)比研究超微血管成像技術(shù)(SMI)、 能量多普勒超聲(PDUS) 及超聲造影(CEUS)在判斷類風(fēng)濕性關(guān)節(jié)炎活動(dòng)性的價(jià)值。方法 對(duì)50例RA活動(dòng)期患者進(jìn)行超聲檢查，觀察SMI、PDUS、CEUS血流模式對(duì)最厚處滑膜血流的顯示率和滑膜血流分級(jí)的差異，并與DAS28、類風(fēng)濕因子(RF)、 C反應(yīng)蛋白(CRP)、 血沉(ESR) 進(jìn)行相關(guān)性分析，評(píng)估SMI對(duì)RA患者關(guān)節(jié)炎癥活動(dòng)性的臨床應(yīng)用價(jià)值。結(jié)果 在RA患者中，CEUS、SMI、PDUS對(duì)滑膜血流的顯示率分別為92%、88%、76%，SMI與CEUS較PDUS可以檢測(cè)出更多關(guān)節(jié)的滑膜血流，而SMI對(duì)關(guān)節(jié)滑膜血流的顯示與CEUS無明顯差異(P=0.159);通過評(píng)估滑膜血流分級(jí)發(fā)現(xiàn)，SMI與CEUS,較PDUS，血流分級(jí)更高。CEUS、SMI及PDUS的滑膜血流分級(jí)與ESR、CRP、DAS28 均星正相關(guān)。結(jié)論 SMI在觀察RA患者增生滑膜血流信號(hào)方面優(yōu)于PDUS,可更準(zhǔn)確地評(píng)估RA患者的疾病活動(dòng)性。
Abstract:
Objective To compare the value of superb microvascular imaging (SMI), power doppler imaging (PDUS) and contrast enhanced ultrasound (CEUS) in patients with activity of rheumatoid arthritis (RA). Methods The thickest synovium of 50 patients underwent superb SMI，PDUS and CEUS. The display rate of synovial blood flow and synovial blood flow classification were observed. The correlation between the DAS28，rheumatoid factor (RF), C-reactive protein (CRP), erythrocyte sedimentation rate (ESR) and SMI were analyzed to evaluate the clinical application value of SMI in activity of RA. Results The blood flow detectable rate of CEUS, SMI and PDUS were 92%，88% and 76% respectively, and there was no significant difference in the detection of synovial blood flow between the SMI and CEUS (P=0.159). SMI and CEUS could detect more synovial blood flow, it had higher vascularity classification than PDUS. CEUS, SMI and PDUS were in good agreement with CRP，ESR and DAS28. Conclusion SMI is more sensitive in detecting synovial inflammation than PDUS in patients with RA. SMI can be a potentially useful imaging modality for accurately diagnosing and monitoring the disease activity of RA.

參考文獻(xiàn)/References:

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備注/Memo

備注/Memo:
基金項(xiàng)目:上海市衛(wèi)生和計(jì)劃生育委員會(huì)科研課題(20174Y0127)
1 免疫風(fēng)濕科; 2 通信作者，Email:[email protected]
更新日期/Last Update: 2022-02-15