摘要
目的分析对比高频超声、X线和MRI在银屑病关节炎手关节病变中的应用价值。方法选取有手关节病变的银屑病关节炎患者30例,分别应用高频超声、X线及MRI对其进行观察,分析比较3种方法的优缺点。结果超声与MRI对银屑病关节炎手关节病变(滑膜增厚、关节腔积液、骨质破坏和血流信号增多)均有较高的检出率,但两者间差异无统计学意义(P〉0.05)。MRI可检查出骨髓水肿,对关节腔内病变更有优势,而超声侧重于关节腔外的病变。在关节的骨质破坏和新骨形成方面,X线与超声和MRI比较有更高的检出率(P<0.05)。结论高频超声、X线和MRI在银屑病关节炎手关节病变中的应用价值各有优势,可以相互补充。超声和MRI较X线可以更加准确、全面地诊断病变,可成为银屑病关节炎手关节病变诊断的首选方法。
Objective To compare the value of high frequency ultrasound,X-ray and MRI in evaluation of psoriatic arthritis with the hand joint involved.Methods A total of 30 cases of psoriatic arthritis with hand joint lesions were selected and observed respectively by high-frequency ultrasound,X-ray and MRI.The advantages and disadvantages of the three methods were analyzed and compared.Results In psoriatic arthritis,the difference of the detection rate of hand joint lesions(synovial thickening,synovial effusion,bone destruction and increased blood flow signal)between MRI and ultrasound was not statistically significant(P〉0.05).MRI could detect bone marrow edema and was more advantageous for intra-articular lesions than ultrasound.However,ultrasound focused on lesions outside the articular cavity.Compared with ultrasound and MRI,X-ray had higher detection ratio of bone destruction and new bone formation of the joints(P<0.05).Conclusion High frequency ultrasound,X-ray and MRI,which are complementary,have their own advantages in evaluation of psoriatic arthritis with the hand joint involved.Ultrasound and MRI are more accurate and comprehensive than X-ray and can be the preferred methods for the diagnosis of hand joint lesions of psoriatic arthritis.
作者
蔡晓菡
杨舒萍
沈浩霖
钟嵘
江文婷
赖振汉
吕国荣
CAI Xiaohan;YANG Shuping;SHEN Haolin;ZHONG Rong;JIANG Wenting;LAI Zhenhan;LV Guorong(Department of Ultrasound,the Affiliated Zhangzhou Municipal Hospital,Fujian Medical University,Zhangzhou,Fujian 363000,China)
出处
《福建医药杂志》
CAS
2019年第5期5-8,共4页
Fujian Medical Journal
基金
2017年福建省自然科学基金项目(2017J01385)
关键词
银屑病关节炎
高频超声
X线
MRI
手关节病变
psoriatic arthritis
high frequency ultrasonography
X-ray
MRI
hand joint disease
