J Rheumatol:彩色多普勒超声评估炎性腰痛患者骶髂关节的价值

2018-12-17 xiangting MedSci原创

CDUS在检测骶髂关节炎方面显示出足够的诊断性能,是IBP患者中的有用工具。

这项研究旨在探讨彩色多普勒超声(CDUS)对炎性腰背痛(IBP)患者骶髂关节炎的诊断价值。

研究纳入连续性IBP患者和无明确诊断的疑似中轴型脊柱关节炎(SpA)患者。确诊为SpA的连续性患者和轴向受累患者被纳入对照组。所有患者在同1周内接受临床评估、磁共振成像(MRI)和骶髂关节CDUSSIJ)。使用MRI作为金标准,计算CDUS诊断骶髂关节炎的敏感性、特异性、阳性预测值(PPV)和阴性预测值(NPV)。

99名患者(36名既往患SpA)中评估了198SIJ。其中有61名男性(61.6%),平均年龄39.8岁(SD 11.3),中位病程24个月(IQR 12-84)。在患者层面,CDUS的敏感性为63%(95CI 48.7-75.7%),特异性为89%(95CI 76-96%)。PPV87.2%(95CI72.6-95.7%),NPV66.7%(95CI53.3-78.3%)。在关节层面,CDUS的敏感性为60%(95CI 49-70%),特异性为93%(95CI 88-98%)。PPV83%(95CI 78-95%),NPV43%(95CI 33-56%)。CDUS诊断中轴型SpA的敏感性为54%(95CI 36.6-71.2%),特异性为82%(95CI 63.1-93.9%),PPV79%(95CI 57.8-92.9%),NPV59%(95CI 42.1-74.4%)。

CDUS在检测骶髂关节炎方面显示出足够的诊断性能,是IBP患者中的有用工具。

 

原始出处:

Javier E. Rosa. Value of Color Doppler Ultrasound Assessment of Sacroiliac Joints in Patients with Inflammatory Low Back Pain. J Rheumatol. 15 December 2018.

 

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    2019-02-05 zwjnj2

    学习学习努力学习

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    2018-12-28 zwjnj2

    学习学习学习

    0

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