MRI在类风湿性腕关节炎中的临床诊断价值

Clinical Value of MRI in the Diagnosis of Rheumatoid Arthritis of the Wrist Joint

目的探讨MRI在诊断类风湿性腕关节炎中的临床价值。方法回顾性分析该院84例类风湿性腕关节炎患者的磁共振图像,分析其诊断效果,其中男性患者46例,女性患者38例,扫描腕关节168个。结果多数腕关节出现异常信号,包括滑膜增厚、双侧血管翳形成等。还有关节积液患者21个,骨髓水肿患者23个,骨质缺损患者27个。结论 MRI诊断类风湿性腕关节炎有很好的效果,可以清晰反映出异常信号,是一种准确可靠的检查方法,适合在临床上推广应用。

Objective To explore the clinical value of MRI in the diagnosis of rheumatoid arthritis of the wrist joint. Methods The magnetic resonance imaging （MRI） of 84 cases of patients with rheumatoid arthritis of the wrist joint, including 46 males and 38 females, were analyzed retrospectively. The value of diagnosis of MRI was analyzed. And a total of 168 wrist joints were scanned. Results Most of the wrist joints had signal abnormalities, including synovial thickening, bilateral pannus formation and so on. And there were 21 cases of patients with hydrops articuli, 23 cases of patients with bone marrow edema, 27 cases of patients with bone defect. Conclusion MRI has a good effect in the diagnosis of rheumatoid arthritis of the wrist joint, which can clearly reflect the abnormal signal. It is an accurate and reliable examination method and suitable for popularization and application in clinical practice.