[摘要] 目的 比较彩色多普勒超声与超声造影对类风湿关节炎滑膜炎活动性评估的准确性及敏感性。 方法 采用“双盲法”，由一位超声科医生根据彩色多普勒超声检查结果和超声造影检查结果作出滑膜炎相应的分级；由不知道超声分级结果的风湿科临床医生作出患者的DAS28评分分级。将彩色多普勒超声检查和超声造影两种方法的分级结果与DAS28评分分级结果进行分析比较。 结果 超声方法评估滑膜炎的结果和DAS28评分的结果无统计学差异(P<0.05)。超声造影检查与DAS28评分的Kappa值大于彩色多普勒检查与DAS28评分的Kappa值。 结论 超声造影对类风湿关节炎滑膜炎活动性评估的准确性及敏感性高于彩色多普勒超声的评估。

    [关键词] 类风湿关节炎；滑膜炎；彩色多普勒超声；超声造影

    [中图分类号] R593.22 [文献标识码] A [文章编号] 2095-0616(2017)13-130-04

    [Abstract] Objective To compare the accuracy and sensibility between the Color Doppler ultrasound score and contrast enhanced ultrasound score about inflammatory activity of rheumatoid arthritis. Methods One ultrasound doctor examined all the synovium of RA patients and completed the Color Doppler ultrasound score and contrast-enhanced ultrasound score. One rheumatologist who didn’t know the ultrasound results completed DAS28 score for every patients. Then the correlation between the ultrasound sores and DAS28 score were observed. Results The difference between ultrasound scores and DAS28 score was not significant. At the same time ......