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目的:分析类风湿腕关节炎磁共振成像(MRI)结果与临床症状及实验室检查结果的相关性。方法:回顾性分析我院收治的54例类风湿腕关节炎采用MRI扫描双腕关节病人的资料,同时选取20例正常志愿者作为对照,对比分析患者的临床症状、生命体征、实验室检查结果与MRI结果的相关性。结果:所有患者均发现滑膜变厚、血管翳增生(其中42例患者的血管翳呈增强表现),23例有骨髓水肿,39例出现关节积液,38例发生骨质破坏。前3类患者分别与无相应临床症状的患者从整体评估、健康评估、红细胞的沉降率及关节肿胀数等方面进行比较,差异均具有统计学意义(P<0.05)。骨髓水肿与无骨髓水肿的患者跖趾关节压痛、骨质破坏、抗核周因子等方面比较,差异均有统计学意义(P<0.05)。结论:MRI技术可显示出类风湿关节炎的病理学变化,其对类风湿腕关节炎的诊断及预后评价具有重要的临床价值。
OBJECTIVE: To analyze the correlation between magnetic resonance imaging (MRI) results of rheumatoid arthritis and clinical symptoms and laboratory test results. Methods: The data of 54 patients with rheumatoid arthritis treated by MRI in our hospital were analyzed retrospectively. Twenty normal volunteers were selected as control. The clinical symptoms, vital signs, laboratory findings Correlation with MRI findings. RESULTS: In all patients, synovial membrane thickening and angiogenesis were observed in all patients (of which 42 cases showed enhanced angiogenesis), 23 cases had bone marrow edema, 39 cases had joint effusion and 38 cases had bone destruction. The former three kinds of patients were compared with patients without corresponding clinical symptoms, such as overall assessment, health assessment, erythrocyte sedimentation rate and the number of joint swelling, the differences were statistically significant (P <0.05). Bone marrow edema and no bone marrow edema in patients with metatarsophalangeal joint tenderness, bone destruction, anti-nuclear factor and other aspects, the difference was statistically significant (P <0.05). Conclusion: MRI can show the pathological changes of rheumatoid arthritis, which has important clinical value in the diagnosis and prognosis evaluation of rheumatoid arthritis.