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本文引用的文献

1
[Possibilities and limits of extracranial vascular diagnosis with conventional echography].
Klin Monbl Augenheilkd. 1997 Nov;211(5):301-5. doi: 10.1055/s-2008-1035139.
2
Ultrasonography in temporal arteritis.
N Engl J Med. 1998 Mar 12;338(11):760; author reply 761. doi: 10.1056/NEJM199803123381111.
3
Color duplex ultrasonography in the diagnosis of temporal arteritis.彩色双功能超声在颞动脉炎诊断中的应用
N Engl J Med. 1997 Nov 6;337(19):1336-42. doi: 10.1056/NEJM199711063371902.
4
[Correlation of ultrasound biomicroscopy with histological findings in diagnosis of giant cell arteritis].[超声生物显微镜检查与组织学检查结果在巨细胞动脉炎诊断中的相关性]
Klin Monbl Augenheilkd. 1997 Jan;210(1):48-52. doi: 10.1055/s-2008-1035013.
5
[Color Doppler ultrasound of the temporal arteries--a new method for diagnosing temporal arteritis].[颞动脉彩色多普勒超声——一种诊断颞动脉炎的新方法]
Klin Monbl Augenheilkd. 1996 Feb;208(2):93-5. doi: 10.1055/s-2008-1035176.
6
Brow droop after superficial temporal artery biopsy.
Arch Ophthalmol. 1986 Aug;104(8):1127. doi: 10.1001/archopht.1986.01050200033026.
7
On the occurrence of necrotising lesions in arteritis temporalis: review of the literature with a note on the potential risk of a biopsy.
Br J Plast Surg. 1987 Jan;40(1):73-82. doi: 10.1016/0007-1226(87)90015-4.
8
[Why perform Doppler sonography before every biopsy of the temporal artery?].
Klin Monbl Augenheilkd. 1989 Sep;195(3):169-71. doi: 10.1055/s-2008-1046431.
9
The American College of Rheumatology 1990 criteria for the classification of giant cell arteritis.美国风湿病学会1990年巨细胞动脉炎分类标准。
Arthritis Rheum. 1990 Aug;33(8):1122-8. doi: 10.1002/art.1780330810.
10
Temporal arteriography and immunofluorescence as diagnostic tools in temporal arteritis.
J Rheumatol. 1977 Spring;4(1):76-85.

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.

DOI:10.1136/bjo.85.8.946
PMID:11466252
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1724073/
Abstract

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.

摘要

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。