灰阶超声及彩色多普勒血流分级在儿童一过性髋关节滑膜炎临床分期中的诊断价值分析

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中文摘要：目的:研究灰阶超声及彩色多普勒血流分级在儿童一过性髋关节滑膜炎临床分期中的诊断价值.方法:选取一过性髋关节滑膜炎患儿80例,均为一侧发病,选取健侧作为对照组.根据患病时长、症状、体征、影像学结果等将患儿病情分为Ⅰ～Ⅳ期,测量颈前间隙、滑膜厚度、彩色多普勒血流分级,分析以上指标在临床分期中的相关性.结果:患侧的颈前间隙、彩色多普勒血流分级高于健侧(P<0.05).患侧的颈前间隙、髋关节腔积液、彩色多普勒血流分级与临床分期均呈显著正相关(P<0.05).逐步回归分析显示,患儿年龄、患病时间、患侧彩色多普勒血流分级为临床分期的危险因素.结论:灰阶超声及彩色多普勒血流分级可为儿童一过性髋关节滑膜炎提供影像学指标,彩色多普勒超声血流显像可反映髋关节增厚的滑膜内微血流情况,在诊断儿童一过性髋关节滑膜炎及其临床分期中有重要价值.

外文标题：The Diagnostic Value of Gray Scale Ultrasound and Color Doppler Flow Imaging in the Clinical Staging of Transient Synovitis of the Hip in Children

外文摘要：Objective:To study the diagnostic value of gray scale ultrasound and color Doppler flow imaging in the clinical staging of transient synovitis of the hip(TSH)in children.Methods:A total of 80 children with TSH were selected,and all were unilateral TSH.The healthy side was selected as the control group.According to the duration of illness,symptoms,signs and imaging results,the dis-ease was divided into Ⅰ-Ⅳ stages.The anterior cervical space,synovial thickness and color Doppler flow grading were measured,and the correlation between these indicators and clinical stages was analyzed.Results:The anterior cervical space and color Doppler flow grading of the affected side were higher than those of the healthy side(P<0.05).There was a significant positive correlation between anterior cervical space,hip joint cavity effusion,color Doppler flow grading and the clinical stage(P<0.05).Stepwise regression analy-sis showed that the risk factors for clinical staging of TSH were age,duration of illness,and color Doppler flow grading of the affected side.Conclusion:Gray scale ultrasound and color Doppler flow grading can provide imaging indicators for TSH in children.Color Dop-pler ultrasound flow imaging can reflect the micro blood flow in the thickened synovium of the hip joint,which has important value in diag-nosing TSH in children and its clinical staging.

外文关键词：

Gray scale ultrasoundColor Doppler flow imagingTransient synovitis of the hipHip joint cavity effusionClinical stages

作者：

王晶、宋宏萍

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作者单位：

中国人民解放军空军军医大学第一附属医院超声医学科,陕西西安 710032

关键词：

灰阶超声彩色多普勒血流成像一过性髋关节滑膜炎髋关节腔积液临床分期

基金：

国家自然科学基金面上项目陕西省科技计划国合重点项目空军军医大学第一附属医院军事医学临床应用研究课题空军军医大学临床研究项目陕西省高等教育教学改革研究重点项目

项目编号：

820719342020kwz-02JSYXP012021LC221021JZ009

出版年：

2024

中国医药导刊

国家食品药品监督管理局信息中心

中国医药导刊

影响因子：1.408

ISSN：1009-0959

年,卷(期)：2024.26(3)

参考文献量18