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目的研究肌肉骨骼超声在中医辨证类风湿关节炎膝关节病变中的应用价值。方法 48例类风湿关节炎(96个病变膝关节)患者,根据中医辨证分为寒湿瘀阻证组及湿热瘀阻证组,各24例(48个病变膝关节)。采用肌肉骨骼超声探查两组膝关节并测量关节腔积液、滑膜增厚及血流信号显示情况。结果湿热瘀阻证组积液厚度(6.28±5.44)mm、滑膜厚度(3.86±3.65)mm厚于寒湿瘀阻证组,血液信号显示率75.00%高于寒湿瘀阻证组(P<0.05)。结论肌肉骨骼超声对膝关节病变的高精度识别能力可有效提高中医对痹症的辨证能力。
Objective To study the value of musculoskeletal ultrasound in the diagnosis of rheumatoid arthritis knee joint syndrome. Methods Forty-eight patients with rheumatoid arthritis (96 diseased knees) were divided into two groups according to syndrome differentiation of TCM: 24 cases (48 lesions). Musculoskeletal ultrasound was used to examine the two groups of knee joints and to measure joint effusion, synovial thickening, and blood flow signals. Results The thickness of hydrothorax and stasis syndrome group was 6.28 ± 5.44 mm and the thickness of synovial membrane was 3.86 ± 3.65 mm thick, which was significantly higher than that of cold, blood and stasis syndrome group (P < <0.05). Conclusion The high accuracy of musculoskeletal ultrasound in the identification of knee joint diseases can effectively improve the TCM syndrome differentiation syndrome.