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Научно-практическая ревматология

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Ультразвуковое исследование суставов при ревматоидном артрите: патогенетическая обоснованность, возможности использования в диагностике, оценке эффективности терапии и прогнозировании исходов

https://doi.org/10.14412/1995-4484-2018-82-92

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Аннотация

Ревматоидный артрит (РА) – аутоиммунное ревматическое заболевание, характеризующееся хроническим эрозивным артритом и системными воспалительными изменениями внутренних органов, приводящими к ранней инвалидизации и ухудшению качества жизни пациентов. Современные методы визуализации явились новым этапом не только в диагностике заболеваний, но и в оценке течения и прогнозировании исходов. Ультразвуковое исследование суставов при РА на данный момент рассматривается как один из доступных и широко используемых методов инструментального исследования. В настоящем обзоре зарубежной литературы проводится подробный анализ публикаций, посвященных ультразвуковому исследованию суставов при РА. Их результаты противоречивы и зачастую ставят под сомнение информативность данного метода. Многочисленность оригинальных публикаций свидетельствует о большом интересе ревматологов к этому методу. Приведены существующие на настоящий момент точки зрения на патогенетическую обоснованность, диагностическую значимость и прогностический потенциал использования ультразвука у пациентов с РА. Обсуждаются вопросы методологии диагностической процедуры, необходимости использования энергетического допплеровского картирования, а также современные полуколичественные шкалы оценки выраженности воспаления. Представлены существующие зарубежные рекомендации для использования ультразвука при РА, подтверждающие важность этого метода визуализации.

Об авторе

О. Г. Алексеева
ФГБНУ «Научноисследовательский институт ревматологии им. В.А.Насоновой».
Россия

младший научный сотрудник лаборатории инструментальной и ультразвуковой диагностики.

Москва. 



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Для цитирования:


Алексеева О.Г. Ультразвуковое исследование суставов при ревматоидном артрите: патогенетическая обоснованность, возможности использования в диагностике, оценке эффективности терапии и прогнозировании исходов. Научно-практическая ревматология. 2018;56(1):82-92. https://doi.org/10.14412/1995-4484-2018-82-92

For citation:


Alekseeva O.G. JOINT ULTRASONOGRAPHY IN RHEUMATOID ARTHRITIS: PATHOGENETIC RATIONALE, POSSIBLE USE IN DIAGNOSIS, THERAPY EFFICIENCY EVALUATION, AND OUTCOME PREDICTION. Rheumatology Science and Practice. 2018;56(1):82-92. (In Russ.) https://doi.org/10.14412/1995-4484-2018-82-92

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ISSN 1995-4484 (Print)
ISSN 1995-4492 (Online)