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系统性硬化症患者皮肤受累的高分辨率超声检查方法——统一方案建议

How to perform high ultrasound examination of skin involvement among patients with systemic sclerosis - proposition of a unified protocol.

作者信息

Sobolewski Piotr, Elżbieta Dźwigała Monika, Maślińska Maria, Szymańska Elżbieta, Walecka Irena

机构信息

Clinic of Dermatology, Centre of Postgraduate Medical Education, Central Clinical Hospital of the Ministry of the Interior, Warsaw, Poland.

Clinic of Early Arthritis, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland.

出版信息

Reumatologia. 2021;59(1):9-11. doi: 10.5114/reum.2021.103469. Epub 2021 Feb 28.

DOI:10.5114/reum.2021.103469
PMID:33707790
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7944964/
Abstract

INTRODUCTION

A fast and cheap method of skin assessment in systemic sclerosis (SSc) is an area of extensive research. Established in 1979, the Rodnan skin score is a palpation-based method used among clinicians. This method has some limitations, such as: examiner's skills, subjective results, and no standardization. In the last few years researchers have been exploring ultrasound-based techniques as a possible tool for skin assessment among patients with SSc. The aim of the study is to develop a protocol of elastography-based skin imaging evaluation among patients with SSc.

MATERIAL AND METHODS

Review of the literature and own experience.

RESULTS

Proposition of elastography-based skin imaging protocol among patients with SSc.

CONCLUSIONS

The authors present a potential protocol of ultrasound-based examination of skin involvement among patients with SSc.

摘要

引言

在系统性硬化症(SSc)中,一种快速且廉价的皮肤评估方法是广泛研究的领域。罗德南皮肤评分法于1979年确立,是临床医生使用的一种基于触诊的方法。该方法存在一些局限性,如:检查者的技能、主观结果以及缺乏标准化。在过去几年中,研究人员一直在探索基于超声的技术,将其作为SSc患者皮肤评估的一种可能工具。本研究的目的是制定一项基于弹性成像的SSc患者皮肤成像评估方案。

材料与方法

文献回顾及自身经验。

结果

提出了SSc患者基于弹性成像的皮肤成像方案。

结论

作者提出了一种基于超声检查SSc患者皮肤受累情况的潜在方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5572/7944964/746c2a7eea8e/RU-59-43234-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5572/7944964/746c2a7eea8e/RU-59-43234-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5572/7944964/746c2a7eea8e/RU-59-43234-g001.jpg

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本文引用的文献

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Eur J Rheumatol. 2020 Oct;7(Suppl 3):S222-S227. doi: 10.5152/eurjrheum.2020.19116. Epub 2020 Jul 6.
2
High-frequency Ultrasound Assessment of Systemic Sclerosis Skin Involvement: Intraobserver Repeatability and Relationship With Clinician Assessment and Dermal Collagen Content.高频超声评估系统性硬化症皮肤受累:观察者内重复性及其与临床医生评估和真皮胶原含量的关系。
J Rheumatol. 2021 Jun;48(6):867-876. doi: 10.3899/jrheum.200234. Epub 2020 Nov 1.
3
Ultrasound assessment of skin thickness and stiffness: the correlation with histology and clinical score in systemic sclerosis.
系统性硬化症中皮肤厚度和硬度的超声评估:与组织学及临床评分的相关性
Arthritis Res Ther. 2020 Aug 26;22(1):197. doi: 10.1186/s13075-020-02285-x.
4
State-of-the-art technologies provide new insights linking skin and blood vessel abnormalities in SSc-related disorders.最先进的技术提供了新的见解,将 SSc 相关疾病中的皮肤和血管异常联系起来。
Microvasc Res. 2020 Jul;130:104006. doi: 10.1016/j.mvr.2020.104006. Epub 2020 Apr 19.
5
Applicability of shear wave elastography for the evaluation of skin strain in systemic sclerosis.剪切波弹性成像在系统性硬化症皮肤应变评估中的适用性
Rheumatol Int. 2020 May;40(5):737-745. doi: 10.1007/s00296-020-04539-y. Epub 2020 Mar 7.
6
Ultrasound Surface Wave Elastography for Assessing Scleroderma.超声表面波弹性成像评估硬皮病。
Ultrasound Med Biol. 2020 May;46(5):1263-1269. doi: 10.1016/j.ultrasmedbio.2020.01.021. Epub 2020 Feb 25.
7
Performance of ultra-high-frequency ultrasound in the evaluation of skin involvement in systemic sclerosis: a preliminary report.超高频率超声在系统性硬化症皮肤受累评估中的表现:初步报告。
Rheumatology (Oxford). 2020 Jul 1;59(7):1671-1678. doi: 10.1093/rheumatology/kez439.
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Sonoelastography for Skin Evaluation in Sclerodermic Patients.用于硬皮病患者皮肤评估的超声弹性成像
Int J Prev Med. 2019 Jun 7;10:91. doi: 10.4103/ijpvm.IJPVM_43_18. eCollection 2019.
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Ultrasound Med Biol. 2019 Apr;45(4):902-912. doi: 10.1016/j.ultrasmedbio.2018.11.015. Epub 2019 Jan 18.
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