轴向性脊柱关节炎患者与运动员附着点处的超声检查结果相似吗？
Are Ultrasound Findings Similar in Patients with Axial Spondyloarthritis and in Athlete Entheses?
作者信息
Lanfranchi Marie-Alix, Leluc Olivier, Tavano Alice, Wormser Cécile, Morange Sophie, Chagnaud Christophe, Pradel Vincent, Lafforgue Pierre, Pham Thao
机构信息
From the Assistance Publique-Hôpitaux de Marseille (APHM), CHU Sainte Marguerite, Rheumatology Department, Aix-Marseille University; CHU Conception, Radiology Department, Clinical Investigation Center; CHU Sainte Marguerite, Public Health Department; Aix-Marseille University, Marseille, France.
M.A. Lanfranchi, MD, APHM, CHU Sainte Marguerite, Rheumatology Department, Aix-Marseille University; O. Leluc, MD, APHM, CHU Sainte Marguerite, Rheumatology Department, Aix-Marseille University; A. Tavano, MD, APHM, CHU Conception, Radiology Department; C. Wormser, MD, APHM, CHU Conception, Radiology Department; S. Morange, MD, APHM, CHU Conception, Clinical Investigation Center; C. Chagnaud, MD, PhD, APHM, CHU Conception, Radiology Department, Aix-Marseille University; V. Pradel, MD, APHM, CHU Sainte Marguerite, Public Health Department, Aix-Marseille University; P. Lafforgue, MD, PhD, APHM, CHU Sainte Marguerite, Rheumatology Department, Aix-Marseille University; T. Pham, MD, PhD, APHM, CHU Sainte Marguerite, Rheumatology Department, Aix-Marseille University.
出版信息
J Rheumatol. 2017 May;44(5):609-612. doi: 10.3899/jrheum.160715. Epub 2017 Mar 1.
OBJECTIVE
Enthesitis is the spondyloarthritis (SpA) landmark, but can also be seen after entheses overuse, such as during intensive sport.
METHODS
We aimed to compare entheses ultrasound (US) findings in a prospective cross-sectional study of 30 axial SpA cases, 30 athletes, and 29 controls.
RESULTS
Mean (SD) MAdrid Sonographic Enthesis Index (MASEI) score was 26.3 (13), 12.2 (7), and 10.4 (6) in patients with SpA, athletes, and non-athlete control groups, respectively (p < 0.0001).
CONCLUSION
The MASEI score was significantly higher in patients with SpA compared with healthy controls, athletes, and non-athletes, and can be of value to distinguish SpA from healthy subjects, whatever their physical activity.
目的
附着点炎是脊柱关节炎（SpA）的标志性特征，但在附着点过度使用后也可见到，比如在高强度运动期间。
方法
在一项前瞻性横断面研究中，我们旨在比较30例轴向SpA患者、30名运动员和29名对照者的附着点超声（US）检查结果。
结果
SpA患者、运动员和非运动员对照组的平均（标准差）马德里超声附着点指数（MASEI）评分分别为26.3（13）、12.2（7）和10.4（6）（p<0.0001）。
结论
与健康对照者、运动员和非运动员相比，SpA患者的MASEI评分显著更高，无论其体力活动如何，该评分对于区分SpA与健康受试者可能具有价值。
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