|本期目录/Table of Contents|

[1]游淑红,洪涛,陶荣,等.高频超声在膝骨关节疾病诊断及治疗中的应用价值[J].医学研究与战创伤救治(原医学研究生学报),2016,18(06):578-580.[doi:10.3969/j.issn.1672-271X.2016.06.006]
　YOU Shu-hong,HONG Tao,TAO Rong,et al.Application value of high frequency ultrasound in the diagnosis and treatment of bone and joint diseases[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2016,18(06):578-580.[doi:10.3969/j.issn.1672-271X.2016.06.006]
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高频超声在膝骨关节疾病诊断及治疗中的应用价值()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第18卷
期数:
2016年06期
页码:
578-580
栏目:
出版日期:
2016-11-20

文章信息/Info

Title:
Application value of high frequency ultrasound in the diagnosis and treatment of bone and joint diseases
作者:
游淑红1; 洪涛1; 陶荣1; 周世云1; 李丽2
1. 332000江西九江，九江市第一人民医院超声科；2. 361002福建厦门，南京军区鼓浪屿疗养院疗养三科
Author(s):
YOU Shu-hong1;  HONG Tao1;  TAO Rong1;  ZHOU Shi-yun1;  LI Li2.
1. Department of Ultrasound, Jiujiang First People′s Hospital, Jiujiang, Jiangxi 332000, China； 2. The Third Department of Kurortology, Gulangyu Sanatorium of Nanjing Military Area Command，Xiamen, Fujian 361002, China
关键词:
高频超声; 膝骨关节病; 关节积液
Keywords:
high frequency ultrasound;  osteoarthritis;  joint effusion
分类号:
R684.3
DOI:
10.3969/j.issn.1672-271X.2016.06.006
文献标志码:
A
摘要:
目的 探讨高频超声在膝骨关节疾病的诊断及治疗中的临床应用价值。方法 选择80例膝骨关节疾病患者，随机分为观察组和对照组，每组40例。对照组行X线检查，采用解剖定位方法进行注药 治疗；观察组行高频超声检查，在超声引导下行穿刺抽液注射术治疗，比较两组患者关节病变诊出情况、依从性穿刺成功率、并发症及治疗前、后两组患者的积液深度、视觉模拟评分（VAS）及WOMAC骨 关节炎指数。结果 观察组总检出率为95.0%,明显高于对照组的42.5%（P<0.05），且在关节软骨回声改变、滑膜增厚、软骨变薄等方面的诊出情况明显高于对照组（P<0.05）；观察组一次性穿刺成功率 为100.0%,明显高于对照组的47.5%（P<0.05），观察组未出现因操作导致的并发症，并发症发生率明显低于对照组（P<0.05）；治疗3周后，观察组患者的积液深度、VAS评分、WOMAC骨关节炎指数均明 显低于对照组（P<0.05）。结论 高频超声能够准确、及时地将膝骨关节病变、积液、软骨情况反映出来，在超声引导下行穿刺抽取注射术治疗的一次性穿刺成功率高且无并发症。
Abstract:
Objective To investigate the clinical value of high frequency ultrasound in the diagnosis and treatment of bone and joint diseases. Methods 80 cases of bone and joint disease were randomly divided into the control group (40 cases) and the study group(40 cases) from September 2016 to January 2015. The control group underwent conventional X- ray examination and drug injection by anatomical location method; the intervention group underwent ultrasonography and injection treatment in ultrasound guided puncture. Two groups of patients with joint disease diagnosis, the compliance of the success rate of puncture, and complications before and after treatment, and two groups of patients with effusion depth and vision analog scale (VAS) and WOMAC osteoarthritis index were compared. Results The total positive rate was 95.0% in intervention group and was significantly higher than the control group (42.5%, P<0.05); the articular cartilage echo change, synovial thickening, thinning of the cartilage and other aspects of the diagnosis was significantly higher than the control group (P<0.05); the intervention group one-time success rate of puncture was 100.0% which was higher than 47.5% in the control group (P<0.05). The intervention group did not appear operation complications, which were significantly less than the control group (P<0.05); after 3 weeks of treatment, the intervention group of patients with effusion depth, VAS score and WOMAC osteoarthritis index were significantly lower than the control group (P<0.05). Conclusion High frequency ultrasound can accurately and timely reflect osteoarthropathy effusion, cartilage. The success rate of puncture and aspiration in the treatment of ultrasound-guided puncture is high and there was no complication.

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备注/Memo

备注/Memo:
江西省卫生计生委科技计划（20151361）
更新日期/Last Update: 2016-11-20