宋霄文,刘慧玲,陈彦,韩淑玲,吴承良,张滨,陈巨坤.类风湿腕关节的X 线与磁共振影像对比研究[J].中国医学影像技术,2000,16(11):999~1000 |
类风湿腕关节的X 线与磁共振影像对比研究 |
A Study Comparing Radiography and MRI on Wrist Joints in Patients with Rheumatoid Arthritis |
投稿时间:2000-04-30 |
DOI: |
中文关键词: 类风湿性关节炎 腕关节 X 线摄片 磁共振成像 |
英文关键词:Rheumatoid arthritis Wrist joint Radiograph Magnetic resonance imaging |
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中文摘要: |
目的探讨类风湿性腕关节的X 线与磁共振成像的诊断价值。方法分析8 例类风湿性关节炎患者和
1 例正常人的腕关节X 线片和MRI ,SE 序列T1WI 和T2WI 及Gd-DTPA 进行对比研究。结果X 线平片示8 例患
者均有腕关节软组织肿胀,6 例骨质稀疏,骨囊状破坏,并节间隙窄,2 例无异常改变;MRI 示8 例均可见不同程度范
围的血管翳,滑膜炎及韧带,肌腱损伤,而骨皮质破坏无法观察。结论MRI 在提供病变炎性过程,如滑膜炎,关节
积液,肌腱滑膜炎等的变化优于X 线片;对早期和活动期关节敏感性高,是很用的诊断方法。 |
英文摘要: |
Objective To study the diagnostic value of X-ray film and MRI on wrist joints in patients with rheumatoid
arthritis. Methods Eight cases of wrist joints with RA and one normal wrist joint examined by radiograph and MRI were
comparatively studied. Results Of 8 cases during the study ,on radiograph all showed swelling soft tissues ,6 cases showed
bone cortical decalication ,bone erosions ,joint swollens and 2 cases had normal findings ;On MRI all demonstrated different
size and extent of synovitis ,pannus and tenosynovitis and erosions ,but the disruption of the cortex was diffcult to assess.
Conclusion MRI yields excellent information about inflammatory process such as synovitis ,joint effusions and tenosynovitis ,and is more sensitive markers of early arthritis than X-ray film and appears to be a useful diagnostic tool with suspected
early arthritis and active arthritis. |
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