早期类风湿性关节炎腕关节病变超声与MRI对比研究

Comparative study of ultrasonography and MRI in wrist joint lesions of early rheumatoid arthritis

目的探讨超声和磁共振成像(MRI)对早期类风湿性关节炎腕关节病变的诊断价值。方法选取2016年1月—2017年12月入郑州大学第二附属医院就诊的早期类风湿性关节炎患者30例作为研究对象,对其行超声和MRI检查。结果本次研究检查关节共60个,超声对肌腱腱鞘炎的检出率高于MRI,MRI对骨侵蚀的检出率高于超声,差异均有统计学意义(P<0.05)。结论超声与MRI对诊断早期类风湿性关节炎腕关节病变的效果相当,均可作为检查RA患者腕关节病变的可靠手段。

Objective To evaluate the diagnostic value of ultrasonography and magnetic resonance imaging( MRI) in wrist joint lesions of early rheumatoid arthritis. Methods 30 patients with early rheumatoid arthritis who were admitted to our hospital from January 2016 to December 2017 were selected as the subjects who were examined by ultrasonography and MRI. Results A total of 60 joints were examined in this study. The detection rate of ultrasonography on tenosynovitis was higher than that of MRI. The detection rate of bone erosion in MRI was higher than that in ultrasound,and the difference was statistically significant( P < 0. 05). Conclusion Ultrasound and MRI are effective in the diagnosis of wrist joint lesions in early rheumatoid arthritis,and can be used as reliable means to detect wrist lesions in patients with RA.