四川大学学报（医学版）2017，Vol.48Issue(4)：589-594,6.
寻常型及关节型银屑病附着点炎超声特征对比分析
Ultrasonic Features of Enthesitis: a Comparison Between Patients with Psoriasis Vulgaris and Patients with Psoriatic Arthritis
摘要
Abstract
Objective To compare the ultrasonic features of enthesitis between psoriatic arthritis and psoriasis vulgaris.Methods A total of 39 patients with psoriatic arthritis (PsA group),60 with psoriasis vulgaris (non-PsA group) and 60 healthy people (control group) participated in this study.They were examined by two-dimensional and color Doppler ultrasound on the entheses of bilateral femoral quadriceps tendons,patella tendons,Achilles tendons,plantar fasciae,common flexor tendons and common extensor tendons.Results About 45％ (27 cases) healthy controls had enthesitis,with Achilles tendons and femoral quadriceps tendons being most likely affected.No blood flow signal was observed on the affected sites.About 63％ (38 cases) of non-PsA patients had enthesitis,with Achilles tendons and femoral quadriceps tendons being most likely affected.Blood flow signals were observed on 4 affected sites.More than 84％ (33 cases) PsA patients had enthesitis,with all locations being likely affected but mostly on Achilles tendons,femoral quadriceps tendons,and plantar fasciae.Blood flow signals were observed on 18 affected sites.The differences in prevalence of enthesitis were statistically significant (PsA group＞non-PsA group＞control group,all P＜0.01),although the differences in tendon hypoechogenicity and enthesophytes among the groups showed no statistical significance.PsA and non-PsA patients were more likely to have tendon thickening than the controls (both P＜0.01);but no difference appeared between PsA and non-PsA patients.PsA patients had higher prevalence of intratendinous calcifications,bony erosions and color Doppler signals than non-PsA patients and the controls (all P＜0.01).Conclusions Enthesitis in healthy people and non-PsA patients are most likely to affect Achilles tendon and femoral quadriceps tendons.By contrast,Achilles tendons,femoral quadriceps tendon and plantar fascia are more likely to be affected in patients with PsA.PsA patients have high prevalence of enthesitis and are more likely to have intratendinous calcifications,bony erosions and color Doppler signals.关键词
寻常型银屑病/关节型银屑病/附着点炎/超声特征Key words
Psoriasis vulgaris/Psoriatic arthritis/Enthesitis/Ultrasonic feature引用本文复制引用
唐远姣,向茜,杨裕佳,王丽芸,何英,邱逦..寻常型及关节型银屑病附着点炎超声特征对比分析[J].四川大学学报（医学版）,2017,48(4):589-594,6.基金项目
国家自然科学基金(No.81671696)资助 （No.81671696）
