Использование лучевых и радиоизотопных методов для диагностики ювенильных артритов (аналитический обзор)
DOI:
https://doi.org/10.15574/SP.2018.90.71Ключевые слова:
ювенильный ревматоидный артрит, лучевые методы диагностики, радиоизотопные методы диагностикиАннотация
Ювенильный ревматоидный артрит — одно из наиболее частых инвалидизирующих ревматических заболеваний у детей, для диагностики которого используются различные лучевые методы исследования: рентгенографическое, ультразвуковое, магнитно-резонансное. Каждый из этих методов имеет свои преимущества и недостатки. Часто возникает необходимость использования одновременно нескольких методов лучевой диагностики для ранней, своевременной постановки диагноза и назначения базисной терапии. Одним из самых доступных методов диагностики суставного синдрома является рентгенография, с помощью которой чаще всего можно выявить эрозии, остеопороз, кисты, вывих, подвывихи в суставах, однако для выявления поражения мягких тканей этот метод малоинформативен. В настоящее время широкое распространение получила ультразвуковая диагностика суставов, с помощью которой можно обнаружить поражения синовиальной оболочки, хряща, эрозии на ранней стадии заболевания, тендовагиниты и синовииты. Однако оценка визуализации суставов с помощью ультразвука также имеет свои недостатки: субъективизм врача, отсутствие стандартных протоколов. Более точным методом исследования для диагностики ювенильного ревматоидного артрита является магнитно-резонансная томография, однако высокая стоимость и ограничения для детей раннего возраста не позволяют широко использовать данное исследование в практической деятельности врача.Библиографические ссылки
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