【摘要】 目的:探讨超声检查在多发性大动脉炎(TA)诊断和鉴别诊断中的临床应用价值。方法:选取临床疑似TA患者39例,均行超声、红细胞沉降率(ESR)、C反应蛋白(CRP)水平及CT血管造影(CTA)检查,并将超声检查结果与最终临床诊断结果进行对照分析。结果:39例临床疑似TA患者中,超声诊断TA者33例,动脉硬化(AS)者2例,肌纤维发育不良(FMD)者2例,血栓闭塞性脉管炎(TAO)者2例;与临床最终诊断结果比较,仅有1例FMD患者超声误诊为TA,其余诊断结果均与临床最终诊断结果一致。结论:超声检查能为TA提供较为客观准确的诊断和鉴别诊断依据,是一种有效的影像学检查方法。更多还原

【Abstract】 Objective:To investigate the clinical application value of ultrasound in the diagnosis and differential diagnosis of Takayasu arteritis(TA). Methods: A total of 39 suspected TA patients were examined by ultrasonography,erythrocyte sedimentation rate(ESR),C reactive protein(CRP)and CT angiography(CTA),and the ultrasound examination results were compared and analyzed with the final chinical diagnosis results.Results:Of the 39 cases of suspected TA patients which had been examined by ultrasound,33 cases were diagnosed as TA,2 cases were diagnosed as atherosclerosis(AS),2 cases were diagnosed as fibromuscular dysplasia(FMD)and 2 cases were diagnosed as thromboangiitis obliterans(TAO).Compared with final chinical diagnosis results,1 FMD patient was misdiagnosed as TA,and the rest of the diagnostic results were consistent with the final chinical diagnosis results.Conclusion:Ultrasound examination can provide objective and accurate basis for the diagnosis and differential diagnosis of TA,and it is an effective method of imaging examination.更多还原