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关节炎中的超声检查

Ultrasound in Arthritis.

作者信息

Sudoł-Szopińska Iwona, Schueller-Weidekamm Claudia, Plagou Athena, Teh James

机构信息

Department of Radiology, National Institute of Geriatrics, Rheumatology, and Rehabilitation, Street Spartanska 1, Warsaw 02-637, Poland; Department of Diagnostic Imaging, Warsaw Medical University, St. Żwirki i Wigury 61, Warsaw 02-091, Poland.

Division of Neuroradiology and Musculoskeletal Radiology, Department of Biomedical Imaging and Image-guided Therapy, Vienna General Hospital, Medical University of Vienna, Waehringer Guertel 18-20, Vienna 1090, Austria.

出版信息

Radiol Clin North Am. 2017 Sep;55(5):985-996. doi: 10.1016/j.rcl.2017.04.005. Epub 2017 Jun 12.

Abstract

Ultrasound is currently performed in everyday rheumatologic practice. It is used for early diagnosis, to monitor treatment results, and to diagnose remission. The spectrum of pathologies seen in arthritis with ultrasound includes early inflammatory features and associated complications. This article discusses the spectrum of ultrasound features of arthritides seen in rheumatoid arthritis and other connective tissue diseases in adults, such as Sjögren syndrome, lupus erythematosus, dermatomyositis, polymyositis, and juvenile idiopathic arthritis. Ultrasound findings in spondyloarthritis, osteoarthritis, and crystal-induced diseases are presented. Ultrasound-guided interventions in patients with arthritis are listed, and the advantages and disadvantages of ultrasound are discussed.

摘要

目前,超声检查在日常风湿病诊疗中广泛应用。它用于早期诊断、监测治疗效果以及诊断病情缓解情况。超声检查所见的关节炎病理表现范围包括早期炎症特征及相关并发症。本文讨论了成人类风湿关节炎及其他结缔组织病(如干燥综合征、红斑狼疮、皮肌炎、多发性肌炎和幼年特发性关节炎)中关节炎的超声特征范围。还介绍了脊柱关节炎、骨关节炎和晶体诱导性疾病的超声检查结果。列出了针对关节炎患者的超声引导下干预措施,并讨论了超声检查的优缺点。

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