CAJ | 학술논문

目的探讨超声检查在诊断类风湿关节炎(rheumatoid arthritis,RA)患者肩关节病变中的应用价值.方法 RA患者41例,健康志愿者20例,分别应用高频超声检查双侧肩关节,并进行临床体检,观察RA患者肩关节病变的声像图表现及临床体征,比较两种检查方法的阳性率.结果 RA患者中36个肩关节有异常超声表现,主要为肱二头肌长头腱肌腱炎、滑膜炎、肩袖病变、骨侵蚀及关节腔积液；16个肩关节临床检查有阳性体征,超声检查阳性率明显高于临床体检(P=0.001).对照组仅2个肩关节可见肱二头肌长头腱腱鞘少量积液.结论超声可以发现RA患者多数肩关节异常改变,且其敏感性高于临床体检,具有较高的临床应用价值.
목적 탐토초성검사재진단류풍습관절염(rheumatoid arthritis,RA)환자견관절병변중적응용개치.방법 RA환자41례,건강지원자20례,분별응용고빈초성검사쌍측견관절,병진행림상체검,관찰RA환자견관절병변적성상도표현급림상체정,비교량충검사방법적양성솔.결과 RA환자중36개견관절유이상초성표현,주요위굉이두기장두건기건염、활막염、견수병변、골침식급관절강적액；16개견관절림상검사유양성체정,초성검사양성솔명현고우림상체검(P=0.001).대조조부2개견관절가견굉이두기장두건건초소량적액.결론 초성가이발현RA환자다수견관절이상개변,차기민감성고우림상체검,구유교고적림상응용개치.
Objective To investigate the application value of ultrasound in the diagnosis of shoulder abnormality among patients with rheumatoid arthritis(RA).Methods Shoulders of 41 RA patients and 20 healthy volunteers were examined by high frequency ultrasound and physicians.Abnormal ultrasonography and clinical appearance were recorded.Results Abnormalities,such as tendonitis of long head of biceps tendon(14 shoulders),synovitis ( 15 shoulders),rotate cuff degeneration (6 shoulders),bone erosion (25 shoulders) and joint effusion(10 shoulders),were found in RA patients and only 16 shoulders were found abnormal by clinical examination.The positive rate of ultrasound (43.9％) was significantly higher than that of clinical examination (19.5％,P =0.001 ).Only a small amount of effusion was found in tendon sheathes of 2 biceps in the control group.Conclusions Most of shoulder abnormalities can be detected by ultrasound and the sensitivity of ultrasound is higher than that of clinical examination.Ultrasonography is valuable in the diagnosis of shoulder RA.