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目的探讨超声在类风湿关节炎(RA)诊断中的运用价值。方法选择临床疑似RA患者20例和RA患者25例,超声检测病变关节的滑膜厚度、血流变化及血管增殖、关节积液、软骨及骨质破坏等情况。结果疑似RA患者病变关节仅见程度较轻的滑膜增厚、血流改变、关节积液,无软骨及骨质破坏;RA患者上述病变较重且可见软骨及骨质破坏。结论超声能早期反映类风湿性关节炎关节病变,对其诊断有独特运用价值。
Objective To explore the value of ultrasound in the diagnosis of rheumatoid arthritis (RA). Methods Twenty patients with suspected RA and 25 patients with RA were selected. The synovial thickness, blood flow changes, blood vessel proliferation, joint effusion, cartilage and bone destruction were detected by ultrasound. Results Susceptible RA patients only had mild synovial thickening, blood flow changes, joint effusion and no cartilage and bone destruction in the diseased joints of RA patients. In RA patients, the above lesions were severe and cartilage and bone destruction were observed. Conclusion Ultrasound can early reflect the rheumatoid arthritis joint disease, the diagnosis has a unique value.