腕关节类风湿性关节炎MRI征象的分析

Analysis of MRI Signs of Wrist Rheumatoid Arthritis

目的探究腕关节类风湿性关节炎(rheumatoid arthritis,RA)磁共振成像(magnetic resonance imaging,MRI)征象分析。方法抽取2018年3月—2020年10月于本院接受治疗的94例疑似腕关节类风湿性关节炎(RA)患者纳入研究,84例为RA,10例为非RA,此基础上患者实施MRI平扫+增强扫描,分析MRI征象。结果腕关节RA经MRI征象显示,80例滑膜增厚、54例肌腱炎、51例骨质侵蚀、80例血管翳强化、66例骨髓水肿、56例关节积液;RA组与非RA组间除关节积液外,其余差异有统计学意义(P<0.05)。结论腕关节RA采用MRI进行扫描诊断可进一步提升诊断结果的可靠性,同时此种方式也成为检测RA的主要手段,通过对相关指标的征象分析,对早期RA进行鉴别。

Objective To explore the magnetic resonance imaging(MRI)signs analysis of wrist rheumatoid arthritis(RA).Methods A total of ninety-four patients with suspected wrist rheumatoid arthritis(RA)who were treated in this hospital from March 2018 to October 2020 were enrolled in the study.84 cases were RA and 10 cases were non-RA.On this basis,patients underwent MRI scan+enhance scan and analyzed MRI signs.Results MRI signs of wrist RA showed that 80 cases of synovial thickening,54 cases of tendinitis,51 cases of bone erosion,80 cases of pannus enhancement,66 cases of bone marrow edema,56 cases of joint effusion.Except for joint effusion,the difference between the RA group and the non-RA group was statistically significant(P<0.05).Conclusion The use of MRI for scanning diagnosis of wrist RA can further improve the reliability of the diagnosis.At the same time,this method has become the main method for detecting RA.Early RA can be differentiated through the analysis of signs of related indicators.