Balint P V, Sturrock R D
Centre for Rheumatic Diseases, University Department of Medicine, Royal Infirmary, 10 Alexandra Parade, Glasgow G31 2ER, UK.
Ann Rheum Dis. 2000 Dec;59(12):931-3. doi: 10.1136/ard.59.12.931.
To demonstrate the use of high resolution ultrasound measurements and power Doppler mode in the diagnosis and follow up of a patient with psoriatic arthritic with retrocalcaneal bursitis and Achilles tendonitis.
An outpatient based ATL HDI 3000 ultrasound equipment was used with a CL10-5 MHZ 26 mm probe and musculoskeletal software. Real time B mode and power Doppler mode were used to detect changes in structure and blood flow.
Unilateral retrocalcaneal bursitis and Achilles tendonitis were demonstrated by sonography. Power Doppler mode was useful to demonstrate an increased blood flow around an abnormal retrocalcaneal bursa. A follow up examination showed marginal thickening of the Achilles tendon without any bursitis.
Ultrasonography is an objective method in the confirmation of clinical diagnosis after physical examination. During the examination it is possible to gain not only qualitative but also quantitative data. A comparative study with quantitative data is possible in longitudinal studies.
演示高分辨率超声测量及能量多普勒模式在一名患有银屑病关节炎伴跟腱后滑囊炎和跟腱炎患者的诊断及随访中的应用。
使用基于门诊的ATL HDI 3000超声设备，配备CL10 - 5兆赫26毫米探头及肌肉骨骼软件。采用实时B模式和能量多普勒模式检测结构和血流变化。
超声检查显示单侧跟腱后滑囊炎和跟腱炎。能量多普勒模式有助于显示异常跟腱后滑囊周围血流增加。随访检查显示跟腱边缘增厚，无任何滑囊炎。
超声检查是体格检查后确诊临床诊断的一种客观方法。在检查过程中，不仅可以获得定性数据，还可以获得定量数据。在纵向研究中进行定量数据的比较研究是可行的。
