中国医药科学Issue(1)：13-15,3.
超声对强直性脊柱炎外周附着点病变的早期诊断价值
The clinical value of ultrasonography in early diagnosis of tendinitis of ankylosing spondylitis
摘要
Abstract
Objective To study the ultrasonographic features of enthesopathy in ankylosing spondylitis. To explore the clinical value of ultrasound in diagnosis of ankylosing spondylitis.Methods Power Doppler high-frequency ultrasound was adopted to detect 9 tendon insertion sites located in double lower limbs in 20 healthy volunteers and 40 patients with ankylosing spondylitis. The tendon thicknesses and abnormal ultrasonic manifestations were compared between the two groups. Results40 AS patients and 20 healthy controls were enrolled in this study. 217 of the 720 attaching point lesions (33.1%) were detected in AS group and 31 of 720 attaching point lesions (8.6%) were detected in healthy group (P=0.000). Of the detected attaching point lesions, those at the distal patellar ligament, the quadriceps femoris attachment, and achilles tendon were most involved. Bursitis was the most common lesion of the attachments in lower extremities. Patients with manifestations of enthesitis have positive ultrasonographic findings.ConclusionUS can detect enthesopathy sensitively at distal patellar ligament, sternoclavicular joint and symphysis pubis. It is not only simple, but is safe and effective in early diagnosis of enthesitis in AS patients.关键词
脊柱炎/超声检查/多普勒/能量/附着点炎Key words
Ankylosing spondylitis/Ultrasonography/Doppler/Power/Enthesitis分类
医药卫生引用本文复制引用
崔若玫,李锦春,赵悦吟,徐健..超声对强直性脊柱炎外周附着点病变的早期诊断价值[J].中国医药科学,2016,(1):13-15,3.基金项目
云南省卫生科技计划项目（2014NS172）。 （）
