高频彩色多普勒超声在膝关节滑膜炎早期诊断及针刺疗效评估中的应用价值

doi:10.7517/issn.1674-0475.191218

影像科学与光化学 ›› 2020, Vol. 38 ›› Issue (4): 666-670.DOI: 10.7517/issn.1674-0475.191218

高频彩色多普勒超声在膝关节滑膜炎早期诊断及针刺疗效评估中的应用价值

刘丽芹, 王爱成, 刘春燕, 秦振龙, 田向东

北京中医药大学第三附属医院, 北京 100029

收稿日期:2019-12-20 出版日期:2020-07-15 发布日期:2020-07-15
基金资助:
北京中医药新奥奖励基金课题（2017-XAJLJJ-024）

The Application Value of High Frequency Color Doppler Ultrasound in the Early Diagnosis and the Evaluation of Acupuncture Effect of Knee Synovitis

LIU Liqin, WANG Aicheng, LIU Chunyan, QIN Zhenlong, TIAN Xiangdong

Beijing University of Chinese Medicine Third Affiliated Hospital, Beijing 100029, P. R. China

Received:2019-12-20 Online:2020-07-15 Published:2020-07-15

摘要/Abstract

摘要： 本文探讨了高频彩色多普勒超声在膝关节滑膜炎早期诊断及针刺疗效评估中的应用价值。86例膝关节滑膜炎患者均给予高频彩色多普勒超声检查，观察患者膝关节滑膜、关节腔积液及关节软骨的超声表现。针刺治疗2周、4周后复查高频超声，比较患者治疗前后膝关节滑膜厚度、关节腔积液改善情况、视觉模拟疼痛（VAS）、Lysholm膝关节康复量表（LKSS）评分。结果显示，膝关节滑膜炎患者均存在不同程度的滑膜增厚、关节腔积液及软骨病变。治疗2周后，患者膝关节滑膜厚度、关节腔积液及VAS评分均低于治疗前，LKSS评分高于治疗前，且治疗4周后上述指标均优于治疗2周后，差异均有统计学意义（P<0.05）。结果表明，高频彩色多普勒超声可清晰显示膝关节滑膜增厚、关节腔积液及关节间软骨病变等病变类型，对膝关节滑膜炎的早期诊断及针刺疗效评估均具有重要临床价值。

关键词: 膝关节炎滑膜炎, 高频彩色多普勒超声, 早期诊断, 疗效评估

Abstract: To investigate the application value of high frequency color Doppler ultrasound in the early diagnosis and the evaluation of acupuncture effect of knee synovitis. 86 patients with knee synovitis were examined by high-frequency color Doppler ultrasound, to observe the high frequency color Doppler ultrasound manifestations of synovium, joint cavity effusion and articular cartilage. Reexamined the high frequency color Doppler ultrasound, after acupuncture treatment for 2 and 4 weeks. To compared the synovium thickness of knee joint, the improvement of effusion in joint cavity, VAS and LKSS scores, before and after treatment. The results showed that, synovium thickening, joint effusion and cartilage lesions existed in different degrees in all patients.After 2 weeks of treatment, the synovium thickness, joint cavity effusion and VAS scores of the patients were lower than before treatment, LKSS scores were higher than before treatment, and the above indexes after 4 weeks of treatment were better than after 2 weeks of treatment, the difference was statistically significant (P<0.05). High frequency color Doppler ultrasound can clearly show the types of lesions such as knee synovium thickening, joint cavity effusion and cartilage lesions. It has important clinical value for the early diagnosis of knee synovitis and the evaluation of acupuncture effect.

Key words: knee synovitis, high frequency color Doppler ultrasound, early diagnosis, efficacy evaluation

刘丽芹, 王爱成, 刘春燕, 秦振龙, 田向东. 高频彩色多普勒超声在膝关节滑膜炎早期诊断及针刺疗效评估中的应用价值[J]. 影像科学与光化学, 2020, 38(4): 666-670.

LIU Liqin, WANG Aicheng, LIU Chunyan, QIN Zhenlong, TIAN Xiangdong. The Application Value of High Frequency Color Doppler Ultrasound in the Early Diagnosis and the Evaluation of Acupuncture Effect of Knee Synovitis[J]. Imaging Science and Photochemistry, 2020, 38(4): 666-670.

参考文献

[1] 朱纪阳,吴锦泽,李彬彬,等.膝关节滑膜炎治疗研究现状[J].老年医学与保健,2019,25(6):874-876.
[2] 寇赵淅,赵明宇,张向东.膝关节创伤性滑膜炎治疗研究进展[J].辽宁中医药大学学报,2019,21(9):203-206.
[3] 戴书华,陈垦,张冬.116例膝关节滑膜炎的X线诊断初步研究[J].第三军医大学学报,2000,22(11):1106-1107.
[4] 梁立锋.膝关节滑膜疾病MRI表现分析[J].医学影像学杂志,2017,27(4):740-744.
[5] 张敏,杨凤菊,周吉凤.高频超声在膝关节骨关节炎的诊断及疗效评价的应用[J].实用医技杂志,2017,24(1):37-38.
[6] 郭玮,张彩,亚妮,等.基于肌骨超声评价的毫火针治疗寒湿痹阻型膝骨关节炎并发滑膜炎的临床研究[J].上海中医药杂志,2019,53(2):47-50,55.
[7] 丁呈彪,周云.膝骨性关节炎患者滑膜炎的发病机制及研究进展[J].中国组织工程研究,2015,19(51):8327-8332.
[8] 朱翔,董扬.膝关节滑膜炎性病变临床特征、诊断和治疗[J].国际骨科学杂志,2011,32(1):65-68.
[9] 黄丹.高频彩色多普勒超声诊断膝关节滑膜炎的声像图特点及诊断价值[J].现代医用影像学,2019,28(1):17-19.
[10] 刘欢颜,杜建文,王洪,等.三种超声检查方法对RA患者膝关节滑膜血管翳检查结果的比较[J].中国超声医学杂志,2019,35(1):66-68.
[11] 邓玉莲,黄淑卿,钟逢逍,等.膝关节滑膜炎的高频彩色多普勒超声图像特征及其诊断分析[J].影像研究与医学应用,2020,4(8):18-20.
[12] 王学斌,杨洁,邵晴荷,等.高频超声在类风湿性关节炎膝关节滑膜血流的表现与VEGF表达的相关性研究[J].卫生职业教育,2018,36(9):153-155.
[13] 温阳阳,孙含瑞,杨鑫,等.羌归膝舒丸联合膝痛宁治疗慢性膝关节滑膜炎临床观察[J].西部中医药,2019,32(5):71-73.
[14] 曹方,袁月,宋柏林.针灸治疗膝关节滑膜炎临床取穴配伍规律研究[J].中华中医药杂志,2018,33(5):2112-2115.
[15] Kester C, Wallace M T, Jelinek J, et al. Gouty involvement of the patella and extensor mechanism of the knee mimicking aggressive neoplasm. A case series[J]. Skeletal Radiology, 2018, 47(6):865-869.
[16] 刘晗,赵鹏飞.四妙散加味联合针灸对膝关节滑膜炎患者炎症因子、疼痛介质及关节功能的影响[J].中医学报,2019,34(9):1968-1972.

高频彩色多普勒超声在膝关节滑膜炎早期诊断及针刺疗效评估中的应用价值

The Application Value of High Frequency Color Doppler Ultrasound in the Early Diagnosis and the Evaluation of Acupuncture Effect of Knee Synovitis

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