摘要
目的:探讨磁共振成像对腕关节类风湿关节炎(RA)诊断价值。方法:选取我院2009年6月至2010年6月收治的60例类风湿性关节炎为研究对象,临床诊断符合1987年美国风湿病协会(ARA)类风湿关节炎分类诊断标准。该组患者均经X平片、CT及MRI检查,比较三种检查方式在RA早期病变中的诊断价值。结果:MRI在骨侵蚀性病变、病灶检出均显著优于X平片、CT检查,P<0.05。结论:MRI、CT对于早期RA的诊断价值要远远大于X线平片,且相对于CT检查,MRI具有更好的密度分辨率和空间分辨率,在诊断和预后评价方面具有临床价值。
Objective:to explore the magnetic resonance imaging to wrist rheumatoid arthritis(RA) diagnostic value.Methods select our in June 2009 to June 2010 records of 60 patients with rheumatoid arthritis as the research object,clinical diagnosis accord in 1987 the United States rheumatism association(ARA) rheumatoid arthritis diagnosis standard classification.This group of patients both by X flat,and CT MRI of comparison,three check in RA early in the way lesions diagnostic value.Results in the bone erosion MRI venereal change,lesions detection are significantly better than X radiographs,CT examination,P 0.05.Conclusion MRI,CT for early RA the diagnostic value is more than that of X-ray,and relatively in CT,MRI has better resolution and the density of spatial resolution,in the diagnosis and prognosis has clinical value.
关键词
核磁共振
类风湿性关节炎
诊断
CT
X平片
nuclear magnetic resonance(NMR)
Rheumatoid arthritis
Diagnosis
Computed tomography(CT)
X flat piece of