肌腱附着点超声对强直性脊柱炎早期诊断的应用价值

孟庆鑫 　于涛　　赵梓君　　王可心　　李冬梅

[關键词] 强直性脊柱炎;早期诊断;肌腱附着点超声;应用价值

[中图分类号] R684.3;R814.4          [文献标识码] B          [文章编号] 1673-9701（2021）19-0124-04

The application value of tendon attachment point ultrasound in the early diagnosis of ankylosing spondylitis

MENG Qingxin1   YU Tao2   ZHAO Zijun3   WANG Kexin4   LI Dongmei5

1.Department of Ultrasound， the Second Affiliated Hospital of Mudanjiang Medical College， Mudanjiang   157011， China; 2.Department of Orthopedics，the Second Affiliated Hospital of Mudanjiang Medical College， Mudanjiang   157011， China;3.Department of Radiology， the Second Affiliated Hospital of Mudanjiang Medical College， Mudanjiang 157011， China; 4.Neonatal Care Unit，Hongqi Hospital Affiliated to Mudanjiang Medical College， Mudanjiang   157011， China; 5.ECG Room， the Second Affiliated Hospital of Mudanjiang Medical College， Mudanjiang   157011， China

[Abstract] Objective To explore the application value of tendon attachment point ultrasound in the early diagnosis of ankylosing spondylitis. Methods A total of 60 patients with ankylosing spondylitis in our hospital from January 2018 to January 2020 were retrospectively selected. These patients were selected as the case group， and 60 cases of health examination personnel in our hospital during the same period were retrospectively selected as the healthy group. All patients received ultrasound examination. The thickness of the tendon， the number of abnormal tendon ends detected by ultrasound， the number of abnormal items， and the abnormal sound image index of the tendon ends of the two groups were statistically analyzed. Results The thickness of the right supraspinatus tendon in the case group was significantly higher than that in the healthy group （P<0.05）.The number of the abnormal tendon ends and abnormal items detected by ultrasound in the case group was 372 and 500， higher than that （66 and 74） in the healthy group （P<0.05）. The number of abnormal tendon ends and abnormal items of the quadriceps femoris tendon endpoint，the patellar tendon starting point， the patellar tendon endpoint，the Achilles tendon endpoint， the biceps long head tendon endpoint， and the supraspinatus tendon endpoint detected by ultrasound in the case group was significantly more than that of the healthy group （P<0.05）. There were 500 abnormal sound image indexes of the tendon end detected by ultrasound in the case group， significantly higher than 74 abnormal sound image indexes of the healthy group（P<0.05）. The ultrasound detection rate of tendon end thickening，synovitis，bone cortex destruction，and blood flow signal was significantly higher than that of the healthy group（P<0.05）. Conclusion In the early diagnosis of ankylosing spondylitis， ultrasound of the tendon attachment point is of high application value.