彩色超微血管成像在类风湿性关节炎治疗中的应用价值

邱跃文; 金林原; 张艳芬; 黄锋华; 孙佩

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彩色超微血管成像在类风湿性关节炎治疗中的应用价值

经验交流 | 更新时间：2023-10-11

- 彩色超微血管成像在类风湿性关节炎治疗中的应用价值
- Application Value of Synovial Blood Flow Imaging Based on Color Superb Microvascular Imaging Technology in The Treatment of Rheumatoid Arthritis
- 临床超声医学杂志 2021年23卷第7期
- 作者机构：
  
  南华大学附属长沙中心医院
- 作者简介：
- 基金信息：
- DOI：
  中图分类号：
- 纸质出版日期：2021，
  
  网络出版日期：2021-7-26，
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邱跃文, 金林原, 张艳芬, 等. 彩色超微血管成像在类风湿性关节炎治疗中的应用价值[J]. 临床超声医学杂志, 2021,23(7).

Application Value of Synovial Blood Flow Imaging Based on Color Superb Microvascular Imaging Technology in The Treatment of Rheumatoid Arthritis[J]. Journal of Clinical Ultrasound in Medicine, 2021,23(7).
邱跃文, 金林原, 张艳芬, 等. 彩色超微血管成像在类风湿性关节炎治疗中的应用价值[J]. 临床超声医学杂志, 2021,23(7). DOI：

Application Value of Synovial Blood Flow Imaging Based on Color Superb Microvascular Imaging Technology in The Treatment of Rheumatoid Arthritis[J]. Journal of Clinical Ultrasound in Medicine, 2021,23(7). DOI：

摘要

目的探讨彩色超微血管成像（cSMI）技术获取的滑膜血流显像在类风湿性关节炎（RA）治疗中的应用价值。方法回顾性分析我院确诊为腕关节类风湿性关节炎住院患者40例，均使用高频超声cSMI及脉冲多普勒（PW）技术动态监测治疗前、后腕关节滑膜内血流分级及动脉阻力指数（RI），同时分别记录治疗前、后反映疗效的血生化指标：类风湿因子（RF）、C反应蛋白（CRP）、红细胞沉降率（ESR）及抗环瓜氨酸肽抗体（CCP），比较上述参数治疗前后变化情况。分析滑膜内血流分级、动脉RI及血生化指标的相关性。结果患者腕关节滑膜内彩色血流分级及滑膜内动脉RI指标在治疗前、后比较，差异均有统计学意义（均P＜0.05）。相关性分析显示，滑膜内彩色血流分级与反映疗效的血生化指标均呈正相关（彩色血流分级与RF、CRP、ESR、CCP相关系数，治疗前： r=0.648、0.369、0.295、0.624，均Ｐ＜0.05；治疗后： r=0.765、0.559、0.573、0.701，均Ｐ＜0.05），滑膜内动脉RI与反映疗效的血生化指标均呈负相关（滑膜内动脉RI与RF、CRP、ESR、CCP相关系数，治疗前：r=-0.682、-0.420、-0.434、-0.798，均Ｐ＜0.05；治疗后： r=-0.657、-0.549、-0.765、-0.765，均Ｐ＜0.05），滑膜内彩色血流分级与滑膜内动脉RI均呈负相关（治疗前：r=-0.820，Ｐ＜0.05；治疗后：r=-0.811，Ｐ＜0.05）。结论基于cSMI技术的滑膜彩色血流分级及滑膜动脉RI能动态监测RA患者的治疗效果，为临床提供可靠依据。

Abstract

Objective To investigate the application value of synovial blood flow imaging obtained by Color Superb Microvascular Imaging(cSMI) technology in the treatment of rheumatoid arthritis (RA).Methods Retrospective analysis of 40 hospitalized patients confirmed as wrist rheumatoid arthritis in our hospital.High frequency ultrasound cSMI and pulse doppler（PW） technology were used to dynamically monitor the synovial blood flow classification and arterial resistance index（RI）in wrist before and after treatment for all patients.At the same time，the blood biochemical indexes reflecting the curative effect before and after treatment were recorded respectively: rheumatoid factor (RF)

C reactive protein (CRP)

erythrocyte sedimentation rate (ESR) and anti cyclic citrullinated peptide antibody (CCP)

and the changes of the above parameters before and after treatment were compared.The correlation among blood flow classification

arterial RI in synovium and blood biochemical indexes were analyzed.Results Color flow classification of synovial and RI index of synovial artery in patients with wrist were compared before and after treatment. The differences were statistically significant（all P＜0.05）. Correlation analysis showed that the color flow classification in synovium were all positively correlated with the blood biochemical indexes reflecting the curative effect（correlation coefficients of color flow classification with RF

CRP

ESR and CCP，before treatment：r=0.648、0.369、0.295、0.624，allＰ＜0.05;after treatment: r=0.765、0.559、0.573、0.701，allＰ＜0.05）.There were all negative correlation between RI in the synovial artery and blood biochemical indexes.（correlation coefficient between RI in synovial artery and RF

CRP

ESR and CCP，before treatment：r=-0.682、-0.420、-0.434、-0.798，allＰ＜0.05;after treatment: r=-0.657、-0.549、-0.765、-0.765，allＰ＜0.05).And there were all negative correlation between color flow classification and RI in synovial artery(before treatment：r=-0.820，Ｐ＜0.05;after treatment: r=-0.811，Ｐ＜0.05).Conclusion The color flow classification of synovium and RI of synovial artery based on cSMI technology can dynamically monitor the therapeutic effect of RA patients

so as to provide reliable evidence for clinical practice.

关键词

超声彩色超微血管成像彩色血流分级动脉阻力指数类风湿性关节炎

Keywords

UltrasoundColor superb microvascular imagingColor blood flow classificationArterial resistance indexRheumatoid arthritis

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