超微血流成像、能量多普勒超声在痛风性关节炎诊断中的应用价值

doi:10.7517/issn.1674-0475.230606

影像科学与光化学 ›› 2023, Vol. 41 ›› Issue (5): 253-259.DOI: 10.7517/issn.1674-0475.230606

超微血流成像、能量多普勒超声在痛风性关节炎诊断中的应用价值

曹玉英¹, 曹建华², 侯婷婷¹, 孙明丽¹, 王淑玲¹

1. 衡水市第四人民医院超声科, 河北衡水 053000;
2. 衡水市第二人民医院手术室, 河北衡水 053000

收稿日期:2023-06-25 出版日期:2023-09-23 发布日期:2023-10-28
通讯作者: 曹玉英

Application Value of Ultramicro-Flow Imaging and Energy Doppler Ultrasound in the Diagnosis of Gouty Arthritis

CAO Yuying¹, CAO Jianhua², HOU Tingting¹, SUN Mingli¹, WANG Shuling¹

1. Ultrasound Department of The No.4 People's Hospital of Hengshui, Hengshui 053000, Hebei, P.R. China;
2. Operating room of The Second People's Hospital of Hengshui, Hengshui 053000, Hebei, P.R. China

Received:2023-06-25 Online:2023-09-23 Published:2023-10-28

摘要/Abstract

摘要： 超微血流成像(SMI)、能量多普勒超声(PDUS)在痛风性关节炎诊断中的应用价值。选取痛风性关节炎患者98例,均给予SMI、PDUS检查,分析不同时期及不同水平超敏C反应蛋白(hs-CRP)患者痛风石和滑膜增生血流分级情况。结果显示,痛风性关节炎患者的超声影像学表现为关节腔积液、多点状高回声、痛风石、双轨征、滑膜增厚。急性期患者hs-CRP水平高于缓解期患者(P<0.05)。与PDUS模式相比,痛风石与滑膜增生SMI模式血流分级中高分级(2、3级)例数更多(P<0.05),低分级(0、1级)例数更少(P<0.05)。与缓解期患者相比,急性期患者不同模式下(痛风石与滑膜增生血流分级)高分级(2、3级)更多(P<0.05),低分级(0、1级)更少(P<0.05)。hs-CRP明显升高组患者不同模式下(痛风石与滑膜增生血流分级)高分级(2、3级)多于hs-CRP轻度增高组和正常组(P<0.05),低分级(0、1级)少于hs-CRP轻度增高组和正常组(P<0.05)。Spearman相关分析显示,hs-CRP水平与不同模式下(痛风石与滑膜增生血流分级)呈正相关(P<0.05),且hs-CRP水平与SMI模式分级的相关性更高(P<0.05)。因此,与PDUS相比,SMI能更多的检测出痛风性关节炎(痛风石和滑膜增生)内的血流信号,与hs-CRP水平的相关性更强,更有利于反映痛风性关节炎患者的活动性。

关键词: 超微血流成像, 能量多普勒超声, 痛风性关节炎, 痛风石, 滑膜增生

Abstract: Application value of ultramicro-flow imaging (SMI) and energy Doppler ultrasound (PDUS) in diagnosis of gouty arthritis. Ninety-eight patients with gouty arthritis were selected, all of which were given SMI and PDUS examination, and the blood flow classification of gouty stone and synovium hyperplasia in patients with different periods and levels of hypersensitive C-reactive protein (hs-CRP) was analyzed. The results showed that the ultrasonic imaging manifestations of gouty arthritis patients were joint effusion, multi-point hyperechoic, gouty stone, double-track sign and synovial thickening. The level of hs-CRP in 253patients with acute stage was higher than that in patients with remission stage (P<0.05). Compared with PDUS mode, there were more cases of high grade (2 and 3) and fewer cases of low grade (0 and 1) in SMI mode than in PDUS mode (P<0.05). Compared with patients in remission stage, patients in acute stage had higher grade (2 and 3) (P<0.05) and less low grade (0 and 1) (P<0.05) under different modes (gouty stone and synovial hyperplasia blood flow grade). In different modes (gout stone and synovium hyperplasia blood flow grades), the high grade (2 and 3) was more than that in the slightly increased hs-CRP group and the normal group (P<0.05), and the low grade (0 and 1) was less than that in the slightly increased hs-CRP group and the normal group (P<0.05). Spearman correlation analysis showed that there was a positive correlation between hs-CRP level and blood flow grading of gout stone and synovium hyperplasia under different modes (P<0.05), and the correlation between hs-CRP level and SMI mode grading was higher (P<0.05). Therefore, compared with PDUS, SMI can detect more blood flow signals in gouty arthritis (gout stone and synovium hyperplasia) and has a stronger correlation with hs-CRP levels, which is more conducive to reflecting the activity of patients with gouty arthritis.

Key words: super microvascular imaging, power Doppler ultrasound, gouty arthritis, gouty stone, synovial hyperplasia

曹玉英, 曹建华, 侯婷婷, 孙明丽, 王淑玲. 超微血流成像、能量多普勒超声在痛风性关节炎诊断中的应用价值[J]. 影像科学与光化学, 2023, 41(5): 253-259.

CAO Yuying, CAO Jianhua, HOU Tingting, SUN Mingli, WANG Shuling. Application Value of Ultramicro-Flow Imaging and Energy Doppler Ultrasound in the Diagnosis of Gouty Arthritis[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2023, 41(5): 253-259.

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超微血流成像、能量多普勒超声在痛风性关节炎诊断中的应用价值

Application Value of Ultramicro-Flow Imaging and Energy Doppler Ultrasound in the Diagnosis of Gouty Arthritis

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