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放射性核素骨关节显像在风湿性骨关节病中的临床评价

Clinical Evaluation of Radionuclide Imaging in Rheumatologic Osteoarthritic Diseases
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摘要 目的:本文分析了39例风湿性骨关节显像结果,显示39例患者骨显像均有不同程度的放射性浓集;18例类风湿关节炎(RA)患者骨显像总分与关节压痛指数,关节肿胀指数,ESR,CRP呈正相关;4例临床疑诊强直性脊柱炎(AS)而X线和/或CT表现正常者骨显像骶髂关节阳性。提示骨显像可反映RA病情活动性,同时对AS的早期诊断有一定的价值。 39 cases of patients with rheumatologic osteoarthritic diseases were checked with 99mTc-MDP radionuclide imaging. The results showed that all patients had enhanced radiopharmaceutical uptake in different joints and in different degree: the ECT score of 18 cases of rheumatoid arthritis (RA) patients was positively relavant to joint tender index, joint swollen index, erythrocyte sedimentation rate (ESR) and C reactive protein (CRP): 4 cases who were suspected ankylosing spondylitis (AS) clinically had normal X-ray and/or CT results but enhanced radiopharmaceutical uptake in sacroiliac joint. The results indicate that radionuclide imaging might help to monitor RA disease activity and help the early diagnosis of AS.
出处 《影像诊断与介入放射学》 1998年第4期228-230,共3页 Diagnostic Imaging & Interventional Radiology
关键词 显像 类风湿性关节炎 强直性脊柱炎 放射性核素 Radionuclide imaging Rheumatoid arthritis Ankylosing spondylitis
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  • 1周修国,中华放射学杂志,1991年,25卷,333页

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