Objective To investigate the diagnostic efficacy of musculoskeletal ultrasonography for wrist joint lesions in patients with rheumatoid arthritis at the early stage of the disease course.Methods 40 patients with early stage rheumatoid arthritis admitted to our hospital from January 2019 to January 2021 were selected as the observation group.During the same period,30 healthy patients in our hospital were selected as the control group.Compared two groups of synovial thickening,detection rate of synovial pannus,joint cavity effusion,bone erosion,and joint cartilage destruction.Compared synovial blood flow signals at different levels of laboratory indicators:rheumatoid factor,erythrocyte sedimentation rate and hypersensitive C-reactive protein.The internal slip artery resistance index was compared between active and inactive stages.The distribution and sonogram characteristics of different types of lesions were observed.Results The detection rates of synovial thickening,synovial pannus,joint effusion,bone erosion,and joint cartilage destruction in patients with early rheumatoid arthritis selected from the observation group were higher than those in the control group,with statistical significance(P<0.05).The levels of rheumatoid factor,erythrocyte sedimentation rate and hypersensitive C-reactive protein in grade III patients were higher than those in grade 0-II patients,and the differences were statistically significant(P<0.05).The internal synovial artery resistance index of patients with rheumatoid arthritis in the active stage was significantly lower than that in the inactive stage,the difference was statistically significant(P<0.05).The different types of lesions also differed in the characteristics of sonograms.Conclusion In the early stage of rheumatoid arthritis,musculoskeletal ultrasonography can be used to detect the wrist joint lesions in time.It can also provide accurate reference for clinical diagnosis and treatment by reflecting inflammatory lesions,resistance index of intrasynovial artery,combined with ultrasonographic characteristics.
Rheumatoid arthritisWrist jointInflammatory lesionsMusculoskeletal ultrasoundSonographic features
万方数据
维普
