BAI Qing, WANG Wenji. Value of ultrasound in the diagnosis and evaluation of curative effect of knee joint disease in the elderly with rheumatoid arthritis[J]. Journal of Clinical Ultrasound in Medicine, 2020,22(12):944-947.
BAI Qing, WANG Wenji. Value of ultrasound in the diagnosis and evaluation of curative effect of knee joint disease in the elderly with rheumatoid arthritis[J]. Journal of Clinical Ultrasound in Medicine, 2020,22(12):944-947. DOI: 10.16245/j.cnki.issn1008-6978.2020.12.026.
Objective To explore the application value of ultrasound in the diagnosis and curative effect evaluation of knee joint diseases in elderly rheumatoid arthritis.MethodsSixty-five elderly rheumatoid arthritis patients were selected as the study group
and another 35 normal elderly people were selected as the control group.The classification of color blood flow in the knee joint
the classification of hydrops in the suprapatellar capsule
the classification of synovium thickness
and thickness of hydrops in the suprapatellar capsule
synovial thickness
cartilage thickness between the two groups were observed and compared by ultrasonography.The patients in the study group received standardized treatment for 3 months
then the therapeutic effect was evaluated by ultrasound.ResultsThe classification of color blood flow
classification of hydrops in the suprapatellar capsule and classification of synovial thickness in the knee joints of the study group were statistically different from those of the control group(all P<0.05).There were significant differences in the thickness of hydrops in the suprapatellar capsule and synovium between the study group and the control group(both P<0.05)
while there was no significant difference in the thickness of intercondylar cartilage.After treatment
the thickness of hydrops in the suprapatellar capsule and synovium thickness of the study group patients were significantly decreased than those before treatment
and the color blood flow signal was reduced(all P<0.05)
while the intercondylar cartilage thickness was not significantly changed.Conclusion By detecting the thickness of hydrops in the suprapatellar capsule
synovium thickness and blood flow signal of the knee joint in the elderly RA patients
ultrasound can be used for the evaluation of its curative effect