摘要
目的探讨磁共振成像(MRI)对早期类风湿关节炎(RA)腕关节扫描的影像学特点,并分析其临床诊断价值。方法选取107例高危早期RA病例开展临床研究,分别给予临床症状和实验室相关指标检查,然后实施MRI成像扫描。分析诊断结果。结果 107例患者中临床检查显示晨僵、关节肿胀者分别有59例、86例;实验室指标检查结果发现,红细胞沉降率(ESR)、C反应蛋白(CRP)增高者分别有62例、44例,类风湿因子(RF)阳性者有49例;MRI检查发现血管翳强化、滑膜增厚、骨髓水肿、关节积液、腱鞘炎以及骨侵蚀者分别有79例、78例、67例、54例、58例和16例;RA阳性者和RA阴性者晨僵、关节肿胀、ESR增高、CRP增高、RF阳性、血管翳强化、滑膜增厚、骨髓水肿、关节积液以及骨侵蚀者构成比差异均有统计学意义(P<0.05)。结论将临床、实验室指标和MRI成像相结合应用于早期RA诊断中具有较高的价值。
Objective To investigate the imaging features of MRI imaging in early RA wrist joint and analyze its clinical diagnostic value. Methods One hundred and seven high-risk early RA cases were selected to carry out clinical research, clinical symptoms and laboratory related indicators were given, and then the implementation of MRI imaging scan. The diagnosis results were analyzed. Results One hundred and seven cases of patients with clinical examination showed morning stiffness, joint swelling were 59 cases, 86 cases. Laboratory results showed that ESR and CRP were increased in 62 cases, 44 cases, RF positive in 49 cases. MRI examination revealed pannus enhancement, synovial thickening, joint effusion, bone marrow edema, tenosynovitis and bone erosion were 79 cases, 78 cases, 67 cases, 54 cases, 58 cases and 16 cases. The rates of morning stiffness, joint swelling, increased ESR and CRP, posi- tive RF, pannus enhancement, synovial thickening, joint effusion, bone marrow edema, tenosynovitis and bone erosion in the RA positive patients were significantly differently from those in the RA negative patients （P〈0.05）. Conclusion The combination of clinical; laboratory indexes and MPI imaging in the early diagnosis of RA has high value.
出处
《实用医学影像杂志》
2017年第4期292-294,共3页
Journal of Practical Medical Imaging
关键词
关节炎
类风湿
磁共振成像
腕关节
临床价值
Arthritis, rheumatoid
Magnetic resonance imaging
Wrist joint
Clinical value
