Kraft H E, Möller D E, Völker L, Schmidt W A
Augenklinik des Klinikums Berlin-Buch.
Klin Monbl Augenheilkd. 1996 Feb;208(2):93-5. doi: 10.1055/s-2008-1035176.
Recently increasing attention has been paid to temporal arteritis which is not a very rare disease. Early establishment of the diagnosis and start of therapy can reduce serious visual complications.
The temporal arteries of 10 patients with temporal arteritis, 8 patients with polymyalgia rheumatica, and 23 controls were investigated with a high resolution ultrasound system, measuring size of lumen and wall as well as blood flow velocity.
Colour doppler sonography of the superficial temporal artery showed a characteristic hypoechoic halo around the perfused lumen of an often stenosed or occluded artery. Neither patients with polymyalgia rheumatica nor controls had this hypoechoic halo. The halo disappeared 10-14 days after start of therapy with glucocorticoids.
We think that colour doppler sonography of the temporal arteries is a simple, quick, and non-invasive method to diagnose temporal arteritis. When there will be more experience, sensitivity and specificity of the method can be defined. Perhaps sonography might replace biopsy in some cases in the future.
颞动脉炎并非罕见疾病，近来日益受到关注。早期确诊并开始治疗可减少严重的视力并发症。
使用高分辨率超声系统对10例颞动脉炎患者、8例风湿性多肌痛患者及23例对照者的颞动脉进行检查，测量管腔大小、管壁情况以及血流速度。
颞浅动脉的彩色多普勒超声显示，在常出现狭窄或闭塞的动脉灌注管腔周围有特征性的低回声晕。风湿性多肌痛患者及对照者均无此低回声晕。使用糖皮质激素治疗开始后10 - 14天，该低回声晕消失。
我们认为颞动脉的彩色多普勒超声是诊断颞动脉炎的一种简单、快速且无创的方法。积累更多经验后，可明确该方法的敏感性和特异性。或许未来在某些情况下超声检查可取代活检。
