超声检查检测到的类风湿关节炎患者踝和足亚临床滑膜炎的影响
Impact of subclinical synovitis in ankles and feet detected by ultrasonography in patients with rheumatoid arthritis.
作者信息
Inamo Jun, Kaneko Yuko, Sakata Komei, Takeuchi Tsutomu
机构信息
Division of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan.
出版信息
Int J Rheum Dis. 2019 Jan;22(1):62-67. doi: 10.1111/1756-185X.13399. Epub 2018 Oct 18.
OBJECTIVE
To investigate the impact of subclinical synovitis detected by ultrasonography (US) on the ankles and feet of patients with rheumatoid arthritis.
METHODS
We retrospectively reviewed the data of patients (n = 59) who underwent US.
RESULTS
The functional ability and quality of life (QoL) of patients in the subclinical group were impaired. While the physician visual analog scale (VAS) scores significantly decreased in the subclinical group, patient and pain VAS scores significantly decreased only in patients without synovitis.
CONCLUSION
US-detected subclinical foot and ankle synovitis considerably affected patient functional status and QoL; however, it was often unnoticed by physicians.
目的
探讨超声（US）检测到的亚临床滑膜炎对类风湿关节炎患者踝关节和足部的影响。
方法
我们回顾性分析了接受超声检查的患者（n = 59）的数据。
结果
亚临床组患者的功能能力和生活质量（QoL）受损。虽然亚临床组医生视觉模拟量表（VAS）评分显著降低，但仅在无滑膜炎的患者中患者和疼痛VAS评分显著降低。
结论
超声检测到的亚临床足踝滑膜炎对患者功能状态和生活质量有相当大的影响；然而，医生常常未注意到。
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