Labanauskaite Grazina, Sarauskas Valdas
Clinic of Radiology, Kaunas University of Medicine Hospital, Lithuania.
Medicina (Kaunas). 2003;39(5):480-3.
The purpose of this study was to investigate the intra-articular vascularization of the synovium with power Doppler sonography and correlate these findings with histopathologic al findings of synovial vascularity. Before arthroplasty or arthroscopy with synovectomy the knee joints of 20 patients with osteoarthritis or rheumatoid arthritis were examined with power Doppler sonography. Vascularity of the synovial membrane was classified semi quantitatively. The degree of the synovial vascularity was graded quantitatively using histological method. The strong correlation was found between qualitative power Doppler sonography results with histological findings of vascularity (Spearman's correlation coefficient was 0.85, p=0.0005). Power Doppler sonography may be a valuable tool to detect synovial vascularity and to assist clinicians in distinguishing between inflammatory and non-inflammatory synovium.
本研究的目的是利用能量多普勒超声检查滑膜的关节内血管分布情况,并将这些结果与滑膜血管的组织病理学结果进行关联。在进行关节置换术或滑膜切除术的关节镜检查之前,对20例骨关节炎或类风湿关节炎患者的膝关节进行了能量多普勒超声检查。滑膜的血管分布进行半定量分类。采用组织学方法对滑膜血管程度进行定量分级。能量多普勒超声检查的定性结果与血管的组织学结果之间存在很强的相关性(Spearman相关系数为0.85,p = 0.0005)。能量多普勒超声检查可能是检测滑膜血管分布并协助临床医生区分炎症性和非炎症性滑膜的有价值工具。