Clinical Applications of Ultrasound in Osteoarthritis

骨關節炎是最常見的慢性關節疾病。最常見的症狀包括關節疼痛，腫脹和僵硬。骨關節炎的特徵是關節軟骨的損耗，導致膝關節和髖關節功能喪失。然而，目前臨床上沒有顯著有效的方法來早期診斷骨關節炎或監測病程進展及治療反應。最近有一些研究顯示，超音波有助於早期檢測骨關節炎和有效的介入。相較於目前的臨床方法，超音波可提供安全快速且無輻射的關節評估，有較高的患者接受度。使用超音波導引關節腔局部注射是一種經濟安全的關節炎治療方法，可以準確地執行且有良好的患者耐受性。超音波在骨關節炎臨床應用的主要限制是必須依賴技術純熟的操作者且無法完全目視骨關節結構。仍需要更多的研究來支持超音波在骨關節炎的診斷及其他之臨床應用。

關鍵字

軟骨；骨關節炎；超音波

並列摘要

Osteoarthritis is the most prevalent chronic joint disease. The most common symptoms include joint pain, swelling and stiffness. It is characterized by loss of joint cartilage, which leads primarily to loss of function of the knee and hip joints. However, none of the current clinical methods or approaches has significant value in terms of early diagnosis of osteoarthritis or monitoring of its progression or treatment response. Recently, a number of studies have suggested that ultrasound may be of significant value for early detection and treatment of osteoarthritis. Compared with current clinical methods, ultrasound is a valuable modality owing to its high patient acceptability, overall assessment of osteoarthritic joints, safety, quick performance and absence of radiation. The ultrasound technique has been introduced in the specialty of rheumatology, and is a valuable tool for the assessment of osteoarthritis. It can be used safely to monitor osteoarthritis progression and response to treatment. Osteoarthritis treatment with ultrasound-guided intra-articular injection is an economical and safe local procedure; furthermore, it can be performed accurately and is well-tolerated by patients. Operator-dependent and incomplete visualization of the joint structure are the main limitations in the clinical application of ultrasound in cases of osteoarthritis. Further research is needed in order to examine the role of ultrasound in the management and diagnosis of osteoarthritis.

並列關鍵字

cartilage ； osteoarthritis ； ultrasound

國際替代計量

Clinical Applications of Ultrasound in Osteoarthritis

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