中国医药导刊2024,Vol.26Issue(3) :264-269.

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

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

王晶 宋宏萍
中国医药导刊2024,Vol.26Issue(3) :264-269.

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

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

王晶 1宋宏萍1
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作者信息

  • 1. 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
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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.

Abstract

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.

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

Key words

Gray scale ultrasound/Color Doppler flow imaging/Transient synovitis of the hip/Hip joint cavity effusion/Clinical stages

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基金项目

国家自然科学基金面上项目(82071934)

陕西省科技计划国合重点项目(2020kwz-02)

空军军医大学第一附属医院军事医学临床应用研究课题(JSYXP01)

空军军医大学临床研究项目(2021LC2210)

陕西省高等教育教学改革研究重点项目(21JZ009)

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

CSTPCD
影响因子:1.408
ISSN:1009-0959
参考文献量18
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