Boutry N, Cotten A
Service de radiologie ostéoarticulaire, hôpital Roger-Salengro, CHRU de Lille, université de Lille-2, Lille cedex, France.
Rev Med Interne. 2010 Jan;31(1):29-40. doi: 10.1016/j.revmed.2009.03.365. Epub 2009 Jun 30.
Ultrasonography may be very useful for the positive and differential diagnosis of inflammatory rheumatic disorders (rheumatoid arthritis [RA], polymyalgia rheumatica [PMR] and spondylarthropathies) and if necessary, for the treatment response evaluation (RA). Later in the course of the disease, ultrasonography may help in diagnosing some peripheral complications (tendinous ruptures, synovial cysts, superficial bursitis...) and is useful to guide corticosteroid injections (RA, spondylarthropathies). This article addresses the main ultrasonographic features of inflammatory rheumatic disorders and the role of ultrasonography relative to other imaging modalities (especially magnetic resonance [MR] imaging).
超声检查对于炎性风湿性疾病(类风湿关节炎[RA]、风湿性多肌痛[PMR]和脊柱关节病)的阳性诊断及鉴别诊断可能非常有用,如有必要,还可用于评估治疗反应(RA)。在疾病后期,超声检查有助于诊断一些外周并发症(肌腱断裂、滑膜囊肿、浅表滑囊炎……),并有助于指导皮质类固醇注射(RA、脊柱关节病)。本文阐述了炎性风湿性疾病的主要超声特征以及超声检查相对于其他成像方式(尤其是磁共振成像[MR])的作用。