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中华医学超声杂志(电子版) ›› 2022, Vol. 19 ›› Issue (09) : 877 -881. doi: 10.3877/cma.j.issn.1672-6448.2022.09.002

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专家共识

血友病性关节病超声评估专家共识(2022年版)
中国血友病协作组   
  1. 1. 中国医学科学院血液病医院(中国医学科学院血液学研究所),实验血液学国家重点实验室,国家血液系统疾病临床医学研究中心,天津 300020
  • 收稿日期:2021-09-29 出版日期:2022-09-01

Expert consensus on ultrasonic diagnosis and scoring of hemophiliac arthropathy (2022 edition)

Hemophilia Treatment Center Collaborative Network of China   

  • Received:2021-09-29 Published:2022-09-01
引用本文:

中国血友病协作组. 血友病性关节病超声评估专家共识(2022年版)[J]. 中华医学超声杂志(电子版), 2022, 19(09): 877-881.

Hemophilia Treatment Center Collaborative Network of China. Expert consensus on ultrasonic diagnosis and scoring of hemophiliac arthropathy (2022 edition)[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2022, 19(09): 877-881.

图1 血友病关节病变筛查肘关节标准切面。图a:E1a,肱骨远端隐窝横切面;图b:E1b,肱骨远端软骨横切面;图c:E2a,肱桡关节上方矢状切面,E2b,肱尺关节上方矢状切面;图d:E3,后正中矢状位切面注:1为桡窝,2为冠状窝,3为桡隐窝,4为冠突隐窝,5为肱骨小头,6为滑车,7为桡骨头,8为尺骨冠突,9为尺骨鹰嘴,10为鹰嘴隐窝,星号为脂肪垫,箭头为软骨,BM为肱肌,TRI为肱三头肌
图2 血友病关节病变筛查膝关节标准切面。图a:K1,正中矢状切面扫查髌上囊。图b:K2,横切面扫查髌骨旁隐窝。图c:K3,动态横切面扫查股骨滑车。图d:K4,冠状面扫查股胫关节注:1为股骨远端,2为髌骨,3为股骨前脂肪垫,4为髌上脂肪垫,5为股四头肌肌腱,6为股骨滑车外侧面,7为股骨滑车内侧面,8为胫骨,星号为髌上囊,黄色箭头指示髌骨旁隐窝,白色箭头指示软骨,菱形处为内侧半月板
图3 血友病关节病变筛查肘关节标准切面。图a:A1a,胫距关节背侧正中矢状切面;图b:A1b,距骨滑车横切面;图c:A2,跗骨窦切面;图d:A3,内踝后方旋转探头扫查胫距关节后凹和距下关节后凹注:1为胫骨,2为距骨滑车,3为距骨颈,4为距骨头,5为跟骨。星号为脂肪垫,白色箭头为胫距关节前隐窝(A1a)和后隐窝(A3),黄色箭头为软骨,菱形为距下关节前隐窝,空箭头为距下关节后隐窝
表1 HEAD-US-C评分量表
表2 血友病患者膝关节滑膜增生程度评分模式图
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