超声生物显微镜在巨细胞动脉炎中建立纹理的适用性。
The suitability of the ultrasound biomicroscope for establishing texture in giant cell arteritis.
作者信息
Roters S, Szurman P, Engels B F, Brunner R
机构信息
Department of Ophthalmology, University of Cologne, Germany.
出版信息
Br J Ophthalmol. 2001 Aug;85(8):946-8. doi: 10.1136/bjo.85.8.946.
AIM
To establish whether ultrasound biomicroscope (UBM) is a helpful tool in locating the arterial segment responsible in patients with segmental attacks in giant cell arteritis
METHODS
The superficial temporal arteries of 19 patients with suspected giant cell arteritis were examined with the UBM before biopsy.
RESULTS
20 specimens provided the histological proof of giant cell arteritis in five patients. Side differences, a dark perivascular halo, and high reflexivity of the intra-arterial space were found.
CONCLUSION
it is assumed that there are two types of arteritic inflammation: (1) the occlusion of intra-arterial space due to intimal fibrosis (UBM: high reflexive "filling"), and (2) inflammation of the perivascular zone with oedematous thickening and infiltration of the media (UBM: dark halo) and its combination. UBM is helpful in obtaining an indication of the side and segment for biopsy.
目的
确定超声生物显微镜（UBM）在巨细胞动脉炎节段性发作患者中定位责任动脉节段时是否为有用工具。
方法
对19例疑似巨细胞动脉炎患者的颞浅动脉在活检前行UBM检查。
结果
20份标本提供了5例患者巨细胞动脉炎的组织学证据。发现有双侧差异、血管周围暗晕以及动脉内间隙高反射性。
结论
推测存在两种动脉炎性炎症：（1）内膜纤维化导致动脉内间隙闭塞（UBM：高反射性“充盈”），以及（2）血管周围区炎症伴中膜水肿增厚和浸润（UBM：暗晕）及其组合。UBM有助于获取活检的部位和节段提示。
Zotero 插件