在临床怀疑关节痛的患者中,单侧与双侧手部超声波:有什么区别? 一个纵向研究研究
Anna M P Boeren1, Edwin H G Oei2, A Willemze3
1A.M.P. Boeren, MD, Department of Rheumatology, Erasmus Medical Centre, Rotterdam, The Netherlands.
The Journal of rheumatology
|February 15, 2026
概括
一只手的超声波 (US) 可以检测临床怀疑关节炎 (CSA) 患者的亚临床关节炎,并预测炎症性关节炎 (IA) 的进展与扫描双手一样有效,从而节省临床时间.
科学领域:
- 类风湿病学 类风湿病学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 通过超声波 (US) 检测到的临床怀疑关节痛 (CSA) 中的亚临床关节炎预测进展到炎症性关节炎 (IA).
- 目前的美国协议往往涉及扫描双手,但单方面方法可能是足够的和更有效的.
研究的目的:
- 描述美国在CSA患者的一只手和两只手中的亚临床突炎和突炎的发现.
- 调查单边的美国协议是否与双边协议一样对IA发展具有预测性.
主要方法:
- 两组CSA患者接受了美国双边检查.
- 亚临床综合炎和紧张综合炎使用灰度表和功率多普勒标准进行评估.
- 分析了美国发现与随后的IA发展之间的关联.
主要成果:
- 亚临床 (teno) synovitis 在两个队列中的CSA患者中被单方面检测到很大比例.
- 仅占主导地位的美国积极性就显示了IA发展的预测值与双边美国相比.
- 对IA开发的危险比率对于主导手美国和双手美国是相似的.
结论:
- 在CSA患者的亚临床 (teno) 突炎可以是单边或双边的.
- 单边的美国方法,特别是占主导地位的方法,与双边方法一样对IA发展具有预测性.
- 考虑单边的美国协议可能会减少CSA患者在临床实践中的扫描时间.
相关概念视频
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
462
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
462
Ultrasonography
8.1K
Ultrasonography is an imaging technique that uses high-frequency sound waves to visualize the body's internal structures. It is a non-invasive and safe procedure that does not involve the use of ionizing radiation, making it widely used in various medical fields. Ultrasonography is used to study heart function, blood flow in the neck or extremities, certain conditions such as gallbladder disease, and fetal growth and development.
During an ultrasonography procedure, a handheld device called...
During an ultrasonography procedure, a handheld device called...
8.1K
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
696
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
696


