rspНаучно-практическая ревматологияRheumatology Science and Practice1995-44841995-4492IMA-PRESS, LLC10.47360/1995-4484-2024-484-493rsp-3634Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEWS AND LECTURESПрименение ультразвукового исследования для оценки интерстициального заболевания легких у больных ревматическими заболеваниямиUse of ultrasound to evaluation interstitial lung disease in rheumatic diseasehttps://orcid.org/0000-0003-2667-4284ОвсянниковаО. Б.OvsyannikovaO. B.

Овсянникова Ольга Борисовна

115522, Москва, Каширское шоссе, 34а

Olga Ovsyannikova

115522, Moscow, Kashirskoye Highway, 34A

sorry_84@mail.ruhttps://orcid.org/0000-0003-3650-7658КоневаО. А.KonevaO. A.

115522, Москва, Каширское шоссе, 34а

115522, Moscow, Kashirskoye Highway, 34A

https://orcid.org/0000-0002-5012-0540ГарзановаЛ. А.GarzanovaL. A.

115522, Москва, Каширское шоссе, 34а

115522, Moscow, Kashirskoye Highway, 34A

https://orcid.org/0000-0002-3248-6426АнаньеваЛ. П.AnanyevaL. P.

115522, Москва, Каширское шоссе, 34а

115522, Moscow, Kashirskoye Highway, 34A

ФГБНУ «НФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»РоссияV.A. Nasonova Research Institute of RheumatologyRussian Federation202431102024625484493Copyright © Овсянникова О.Б., Конева О.А., Гарзанова Л.А., Ананьева Л.П., 20242024Овсянникова О.Б., Конева О.А., Гарзанова Л.А., Ананьева Л.П.Ovsyannikova O.B., Koneva O.A., Garzanova L.A., Ananyeva L.P.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://rsp.mediar-press.net/rsp/article/view/3634

Интерстициальное заболевание легких является одним из самых частых внесуставных проявлений иммуновоспалительных ревматических заболеваний и одной из самых частых причин тяжелого течения заболевания и смертности. Ранняя диагностика и мониторинг пациентов с риском прогрессирования имеют решающее значение для своевременного назначения иммуномодулирующей и антифиброзной терапии, потенциально способной изменить течение заболевания. Компьютерная томография высокого разрешения является стандартным методом лучевой диагностики поражения легких у пациентов с респираторными синдромами или нарушениями по данным функциональных легочных тестов. Она способна выявить изменения в легких до того, как они станут заметны при рентгенографии. Ультразвуковое исследование (УЗИ) легких используется относительно недавно как безопасный и легкодоступный метод для выявления фиброза легких, бронхиолита или пневмоторакса. К сонографическим скрининговым признакам поражения легких относятся В-линии, неровность плевральной линии или отсутствие скольжения плевральной линии. В данном контексте увеличивающееся количество работ по изучению и валидации УЗИ легких характеризует его как привлекательный инструмент для оценки легочной патологии.

Interstitial lung disease is one of the most relevant extra-articular manifestations of rheumatic diseases resulting in a substantial increase in morbidity and mortality. Early diagnosis and close monitoring to identify patients at risk of progression are crucial to establish the need for targeted treatment with immunomodulatory and antifibrotic drugs, with potential ability to change the course of the disease. High resolution computed tomography (HRCT) is the standard radiographic technique to diagnose lung involvement in patients suffering from respiratory symptoms or presenting with a pathological pulmonary function test. HRCT is able to detect changes in the lung before they are apparent on conventional X-ray. Recently, sonography of the lung was introduced as a safe and easily available method for detecting lung fibrosis, bronchiolitis or pneumothorax Sonographic signs like tissue B-lines, irregularities of the pleura or the absence of lung sliding might be a suitable screening tool for lung involvement. In this context, lung ultrasound (LUS) is an attractive tool in a growing research and validation process.

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The authors declare that there are no conflicts of interest present.