[美国对类风湿关节炎患者手足的评估]

[US evaluation of the hands and feet in rheumatoid arthritis].

作者信息

Guerini H, Ayral X, Campagna R, Feydy A, Pluot E, Rousseau J, Gossec L, Chevrot A, Dougados M, Drapé J-L

机构信息

Service de Radiologie B, Hôpital Cochin, 75014 Paris, France.

出版信息

J Radiol. 2010 Jan;91(1 Pt 2):99-110. doi: 10.1016/s0221-0363(10)70015-9.

DOI:10.1016/s0221-0363(10)70015-9

PMID:20212386

Abstract

Rheumatoid arthritis (RA) is a chronic inflammatory disease characterized by progressive damage of synovial-lined joints and variable extra-articular manifestations. Synovitis is usually found in the wrist, metacarpophalangeal, proximal interphalangeal and metatarsophalangeal joints. For these reasons, we believe that ultrasound with power doppler can be used for the detection and monitoring of synovitis with a simplified "hands and feet" protocol. In this article, we will describe this protocol used daily in our institution for early diagnosis and therapeutic management of this disease.

摘要

类风湿关节炎（RA）是一种慢性炎症性疾病，其特征是滑膜关节进行性损伤以及多种关节外表现。滑膜炎通常见于腕关节、掌指关节、近端指间关节和跖趾关节。基于这些原因，我们认为采用简化的“手和足”方案，功率多谱勒超声可用于滑膜炎的检测和监测。在本文中，我们将描述我们机构日常用于该疾病早期诊断和治疗管理的这一方案。