摘要
目的探讨手、腕部关节MRI对于诊断类风湿性关节炎的临床价值。方法随机选取驻马店市中心医院2011年2月至2014年4月收治的主诉多关节痛患者114例，对患者进行手及腕部关节MRI扫描，对患者的MRI扫描征象进行观察，并同临床诊断结果进行分析对比。结果将对称性滑膜增强或增厚作为诊断标准时，其灵敏度、特异度和准确度具有显著优势，分别为85．2％、86．4％、85．5％；当患者存在对称性滑膜增厚或增强合并任-MRI征象时，其RA的发生率明显上升。结论对称性滑膜增强或增厚是一种RA特异性MRI征象，临床诊断时应提高对于存在该征象患者的警惕性，并结合其他MRI征象明确诊断。
Objective To investigate the clinical value of MRI on the diagnosis of early rheuma- toid arthritis hand and wrist. Methods The 114 patients with multi-joint pain in the central hospital of Zhumadian from February 2011 to April 2014 were ranclomly selectecl, and conducted hand and wrist MRI scan, the scan signs were observed, and compare with the clinical diagnosis results. Results When used enhance or thickening of the synovial symmetry as a diagnostic standard, the sensitivity, specificity and accuracy had significant advantages, which was 85.2%, 86.4%, 85.5% respectively; when there was any of symmetry synovial thickening or enhance, the incidence of RA increased significantly. Conclu- sions Symmetry is a thickening of the synovial enhancement or MRI signs of RA-specific, clinical diag- nosis should improve patients for the presence of the signs of vigilance, and combined with other MRI findings confirm the diagnosis.
出处
《中国实用医刊》
2015年第14期39-40,共2页
Chinese Journal of Practical Medicine
