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肌骨超声(MSUS)在幼年特发性关节炎(JIA)中的应用
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Abstract:
肌肉骨骼超声(Musculoskeletal ultrasound, MSUS)在幼年特发性关节炎(Juvenile idiopathic arthritis, JIA)中的应用及作用越来越得到证实。大量研究表明，MSUS在检测亚临床滑膜炎方面比临床检查更敏感。在儿童关节炎的管理中，MSUA作为一种行之有效的检查手段，无需镇静且无辐射，被患者及家属广泛接受。MSUS可以更好地表征炎症受累部位和程度，有助于改善幼年特发性关节炎亚型的分类。此外，它能够增加关节内注射的有效性及安全性。最后，在随访期间，在检测亚临床疾病活动时，MSUS有助于治疗决策。本综述描述了MSUS在儿童中应用的优势和不足与其在JIA患者诊断、治疗、随访中的作用。
The application and role of Musculoskeletal ultrasound (MSUS) in Juvenile idiopathic arthritis (JIA) have been increasingly confirmed. Numerous studies have shown that MSUS is more sensitive in detecting subclinical synovitis than clinical examination. In the management of pediatric arthritis, MSUA is an effective means of examination without sedation and radiation, and is widely accepted by patients and their families. MSUS can better characterize the site and extent of inflammation and help to improve the classification of juvenile idiopathic arthritis subtypes. In addition, it can increase the effectiveness and safety of intra-articular injections. Finally, during follow-up, MSUS facilitates treatment decisions when detecting subclinical disease activity. This review describes the advantages and disadvantages of MSUS in children and its role in the diagnosis, treatment, and follow-up of JIA patients.
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