摘要
目的探讨分析类风湿关节炎腕关节病变X线表现和磁共振影像状况。方法回顾分析我院2016年5月至2018年12月收治的类风湿关节炎腕关节病变患者60例,各患者均接受双腕MR、X线片影像检查,分析比较检查结果。结果60例患者,120个腕关节均接受X线片和MRI检查,X线片共检出骨质侵蚀病灶共54个,MRI共检查骨质侵蚀病灶共403个;MR影像中,检出骨质侵蚀最多位点为分别为三角骨58.7%、月骨51.2%,而X线片检查三角骨1.6%、月骨5.6%,数据差异有统计学意义(χ^2=99.8203、64.9854,P=0.0001、0.0001)。结论临床在诊断类风湿关节炎腕关节病变时,若采用X线片无法得到明确诊断,可考虑使用MRI方式进行检查,此方式在诊断早期类风湿关节炎腕关节骨质侵蚀等方面作用突出。
Objective To explore and analyze the X-ray manifestations and MR imaging status of rheumatoid arthritis wrist joint lesions.Methods A retrospective analysis was conducted on 60 patients with rheumatoid arthritis and carpal joint lesions admitted to our hospital from May 2016 to December 2018.All patients received dual-wrist MR and X-ray imaging examination,and the results were analyzed and compared.Results Of 60 patients,120 wrist joints were examined by X-ray and MRI,54 bone erosion lesions were detected by X-ray,and 403 bone erosion lesions were detected by MRI.In the MR image,the most frequent sites of bone erosion were found to be triangular bone 58.7%and lunate bone 51.2%,respectively,while the X-ray images showed significant differences in triangular bone 1.6%and lunate bone 5.6%(χ^2=99.8203,64.9854,P=0.0001,0.0001).Conclusion In the clinical diagnosis of rheumatoid arthritis in the wrist joint lesions,if X-ray can not get a clear diagnosis,we can consider the use of MRI for examination,which plays a prominent role in the diagnosis of early rheumatoid arthritis in the wrist joint bone erosion and other aspects.
作者
刘有云
Liu Youyun(Department of Radiology,Qinghai Hospital of Traditional Chinese Medicine,Xining 81000,China)
出处
《实用医学影像杂志》
2020年第5期482-484,共3页
Journal of Practical Medical Imaging
关键词
关节炎
类风湿
腕关节
X线
磁共振
Arthritis rheumatoid
Wrist joint
X-ray
Magnetic resonance