CAJ | 학술논문

目的：通过动物实验诱发髋关节一过性滑膜炎(TSH)，探讨超声检查在动物实验诱发TSH早期诊断中的价值，为临床开展B超早期诊断TSH提供有效实验基础及实验依据。方法：80只2~3个月大小的幼犬在一侧髋关节内注入2‰的去甲肾上腺素，诱发髋关节一过性滑膜炎，在不同时间行99m锝-亚甲基二磷酸盐(99mTC-MDP)三相骨显像， X线、B超、关节液、病理组织学检查。结果：髋关节一过性滑膜炎的病理组织学检查示早期关节滑膜小血管扩张、充血，滑膜绒毛增生、水肿，关节内渗出积液，99mTC-MDP三相骨显像表现为股骨头早期缺血，B超检查示关节间隙增宽，X线检查无明显异常。结论：B超检查能反映髋关节一过性滑膜炎早期变化，可为临床开展髋关节一过性滑膜炎的早期诊断提供有效依据及方法。
목적：통과동물실험유발관관절일과성활막염(TSH)，탐토초성검사재동물실험유발TSH조기진단중적개치，위림상개전B초조기진단TSH제공유효실험기출급실험의거。방법：80지2~3개월대소적유견재일측관관절내주입2‰적거갑신상선소，유발관관절일과성활막염，재불동시간행99m득-아갑기이린산염(99mTC-MDP)삼상골현상， X선、B초、관절액、병리조직학검사。결과：관관절일과성활막염적병리조직학검사시조기관절활막소혈관확장、충혈，활막융모증생、수종，관절내삼출적액，99mTC-MDP삼상골현상표현위고골두조기결혈，B초검사시관절간극증관，X선검사무명현이상。결론：B초검사능반영관관절일과성활막염조기변화，가위림상개전관관절일과성활막염적조기진단제공유효의거급방법。
Objective:To investigate the value of B ultrasonography in the early diagnosis of transient synovitis of hip (TSH) in dogs, and provide the valid base and data for the clinic early diagnosis of TSH. Methods:Eighty 2-3 month old dogs were injected 2‰noradrenalin (NA) into the hip joint induced TSH. We observed 5 assessments that included the 99mTC-MDP triphasic imaging, X ray, B ultrasonography, the synovial lfuid and the pathological tissue check in different time. Results:Early course of TSH presented the synovium of joint hemangiectasis, hyperaemia, synovium villus hyperplasia, edema, and joint inflammatory exudation. The ischemia of local blood supply of the femoral head was observed by 99mTC-MDP triphasic imaging. Ultrasonography showed the broadening of the anterior space of the hip, but the X ray showed no valid changes.Conclusion:B ultrasonography can report the early changes of TSH and may be used in the early diagnosis of TSH in children.