摘要
目的患者腕关节病变的价值观察。方法选取2018年1月至2020年3月来我院就诊的RA患者60例,根据病程分为早期组和晚期组,对所有受试者双腕进行超声及MRI检测,比较两种方法对RA患者腕关节病变的检出情况,比较超声对早期组及晚期组的病变检出情况。结果RA早期组及晚期组的超声检查在滑膜炎、关节积液、肌腱腱鞘炎、平均滑膜厚度检出率无明显差异(P﹥0.05),晚期骨侵蚀检出率高于早期组(P﹤0.05);两种检测方法对RA患者滑膜炎、关节积液的检出率无明显差异(P﹥0.05),超声对肌腱腱鞘炎的检出率高于MRI(P﹤0.05),MRI对骨侵蚀的检出率高于超声(P﹤0.05)。结论超声能较好的评估RA患者早期病变,与MRI结果具有较高一致性,可作为早期RA的首选诊断方法,当超声表现不典型时,可进一步采用MRI进行诊断。
Objective To explore the value of ultrasound and MRI in wrist lesions of patients with early rheumatoid arthritis(RA).Methods Sixty RA patients who were treated in the hospital from January 2018 to March 2020 were enrolled.They were divided into early group and late group according to different courses of disease.Ultrasound and MRI tests were performed on the wrists of all subjects.The detection situations of wrist lesions by the two methods were compared.The detection situations of wrist lesions by ultrasound were compared between early group and late group.Results There were no significant differences in detection rates of synovitis,joint effusion,tendon tenosynovitis and average synovial thickness by ultrasound between early group and late group(P﹥0.05).The detection rate of late bone erosion in late group was higher than that in early group(P﹤0.05).There were no significant differences in detection rates of synovitis and joint effusion between the two methods(P﹥0.05).The detection rate of tendon tenosynovitis by ultrasound was higher than that by MRI(P﹤0.05),while detection rate of bone erosion was lower than that by MRI(P﹤0.05).Conclusion Ultrasound can better evaluate the early lesions in RA patients,with high consistency with MRI results.It can be applied as the preferred diagnosis method for early RA.When the ultrasound performances are atypical,MRI can be further applied for diagnosis.
作者
邵汝标
彭剑锋
黄婕
曾红艳
SHAO Ru-biao;PENG Jian-feng;HUANG Jie;ZENG Hong-yan(Department of Ultrasound,Guangzhou Huadu District People's Hospital Affiliated to Southern Medical University,Guangzhou 510800,Guangdong Province,China;Department of Medical Imaging,Guangzhou Huadu District People's Hospital Affiliated to Southern Medical University,Guangzhou 510800,Guangdong Province,China)
出处
《中国CT和MRI杂志》
2022年第11期163-165,共3页
Chinese Journal of CT and MRI
关键词
类风湿性关节炎
超声
磁共振成像
腕关节病变
Rheumatoid Arthritis
Ultrasound
Magnetic Resonance Imaging
Wrist Lesion
