关节彩色多普勒超声在基层医院关节炎鉴别诊断中的应用.docVIP

关节彩色多普勒超声在基层医院关节炎鉴别诊断中的应用 　　[摘要] 目的 探讨关节超声在基层医院关节炎鉴别诊断中的应用价值。 方法 选择2013年1月～2014年12月在福建卫生职业技术学院附属福清医院就诊的关节炎患者285例，用彩色超声仪检查关节情况，每位患者检查关节数为1～3个。 结果 关节彩色多普勒超声有阳性发现者共199例，未发现明显异常者86例。检查阳性者包括关节面毛糙（75例）、关节腔积液（136例）、滑膜增厚（137例）、痛风石结晶（16例）、关节结节（19例）、关节面破坏（1例）、皮质连续性中断（1例）、跟腱炎（1例）等异常表现。确诊的关节炎病例共228例，其中诊断为类风湿关节炎31例，骨关节炎87例，痛风54例。86例检查阴性者均排除了炎症性关节炎。 结论 彩色多普勒超声能够快速评估关节炎患者的关节情况，并对关节炎患者做出正确鉴别，可在基层医院推广应用。 　　[关键词] 关节炎；超声检查；多普勒；鉴别诊断 　　[中图分类号] R593.22 [文献标识码] A [文章编号] 1674-4721（2016）04（c）-0062-05 　　Application of joint ultrasound in the differential diagnosis arthritis in primary hospital 　　HE Mei1 CHEN Yong2 YU Jian-yu2 LIN Chen-xi1 CHEN Han2 LIN Xing2 　　1.Department of Ultrasonic，Fuqing City Hospital in Fujian Province，Fuqing Hospital Affiliated to Fujian Health Vocational School，Fujian Province，Fuqing 350300，China；2.Department of Special Dental Care Clinic，Fuqing City Hospital in Fujian Province，Fuqing Hospital Affiliated to Fujian Health Vocational School，Fujian Province，Fuqing 350300，China 　　[Abstract] Objective To explore the application value of joint ultrasound in the differential diagnosis arthritis in primary hospital. Methods 285 arthritis patients from January 2013 to December 2014 of Fuqing Hospital Affiliated to Fujian Health Vocational School were selected.The joint situation was tested by using color ultrasound equipment，1-3 joints of each patient were tested. Results Joint ultrasound with positive were 199 cases and 86 cases had no obvious abnormal.The abnormal manifestation of examination positive patients included joint surface coarse （75 cases），arthroedema （136 cases），synovial thickening （137 cases），tophi crystal （16 cases），articular tubercle （19 cases），damageofarticularsurface （1 case），cortical continuity interrupted （1 case） and achilles tendinitis （1 case）.228 cases were diagnosed as arthritis.Among that，31 cases were rheumatoid arthritis，87 cases were osteoarthritis and 54 cases were gout.All of 86 examination negative patients excluded inflammatory ar