| 张 芹,许华宁,高 慧,何玉冰,陆 倩.实时剪切波弹性成像技术在不同时期类风湿性关节炎滑膜炎
诊断价值分析[J].,2024,(23):4571-4573 |
| 实时剪切波弹性成像技术在不同时期类风湿性关节炎滑膜炎
诊断价值分析 |
| Diagnostic Value of Real-time Shear Wave Elastographyin Rheumatoid Arthritis Synovitis at Different Periods |
| 投稿时间：2024-05-10 修订日期：2024-06-15 |
| DOI：10.13241/j.cnki.pmb.2024.23.048 |
| 中文关键词: 实时剪切波弹性成像技术 类风湿性关节炎滑膜炎 不同分期 DAS28 鉴别诊断 |
| 英文关键词: Real-time shear wave elastic imaging technology Rheumatoid arthritis synovitis Different stages DAS28 Differential diagnosis |
| 基金项目:江苏省中医药科技发展计划项目（MS2022021）；江苏省中医院科技项目（Y21004） |
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| 中文摘要: |
| 摘要 目的：探讨实时剪切波弹性成像技术在不同时期类风湿性关节炎滑膜炎诊断价值。方法：回顾性选择类风湿性关节炎伴膝关节滑膜炎患者60例，依据DAS28分组将60例患者分为急性期（≥2.6分）、缓解期（＜2.6分），分析相关指标。结果：急性期类风湿性关节炎滑膜炎患者平均弹性模量值、平均速度值较缓解期患者低，滑膜厚度较缓解期患者高，P<0.05。Spearman相关分析显示，平均弹性模量值、平均速度值及滑膜厚度与类风湿性关节滑膜炎患者DAS28评分均有相关性（P<0.05）。平均弹性模量值、平均速度值及滑膜厚度对类风湿关节炎滑膜炎急性期、缓解期的诊断AUC比较有差异，P均<0.05。结论：实时剪切波弹性成像技术可用于类风湿性关节炎滑膜炎急性期、缓解期的鉴别诊断，且与DAS28评分具有较高的相关性。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the diagnostic value of real-time shear wave elastography in rheumatoid arthritis synovitis at different periods. Methods: 60 patients with rheumatoid arthritis with knee synovitis were retrospectively selected, and 60 patients were classified as acute phase (2.6 points) and remission phase (<2.6 points) according to DAS 28 group, and relevant indicators were analyzed. Results: The mean elastic modulus and mean velocity values were lower in patients with acute rheumatoid arthritis synovitis and higher synovial thickness than those in remission, P<0.05. Spearman Correlation analysis showed that the mean elastic modulus, mean velocity and synovial thickness were associated with DAS 28 score in patients with rheumatoid joint synovitis (P<0.05). The mean elastic modulus, mean velocity and synovial thickness were different in the diagnostic AUC in the acute and remission periods of RA synovitis, with P<0.05. Conclusion: Real-time shear wave elastography can be used in the differential diagnosis of rheumatoid arthritis synovitis in acute stage and remission stage, and which has a high correlation with DAS28 score. |
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