中华解剖与临床杂志
中華解剖與臨床雜誌
중화해부여림상잡지
Chinese Journal of Anatomy and Clinics
2014年
5期
395-398
,共4页
王明玉%王宪斌%孙雪辉%刘奉立%黄生传
王明玉%王憲斌%孫雪輝%劉奉立%黃生傳
왕명옥%왕헌빈%손설휘%류봉립%황생전
类风湿性关节炎%高频彩色多普勒超声%核磁共振%骨侵蚀%滑膜增殖
類風濕性關節炎%高頻綵色多普勒超聲%覈磁共振%骨侵蝕%滑膜增殖
류풍습성관절염%고빈채색다보륵초성%핵자공진%골침식%활막증식
Rheumatoid arthritis%High frequency ultrasonography%Nucler magnetic resonance imaging%Bone erosio%Synovial proliferation
目的 探讨高频彩色多普勒超声(HFUS)及MRI在早期类风湿关节炎(RA)患者关节病变检测中的应用价值.方法 回顾性分析2010年1-12月在山东烟台毓璜顶医院确诊的39例RA患者的临床资料,男20例,女19例,平均年龄(51.8±2.2)岁.所有患者双手、双腕均行HFUS、MR检查,重点观察有无骨侵蚀、骨髓水肿、滑膜增殖、滑膜血流、关节积液、肌腱炎等影像表现,并对两种检查方法的结果采用x2检验进行对比分析.结果 共检查关节1 248个,HFUS和MRI在观察骨侵蚀[5.1％ (44/858) vs 4.1％ (35/858),x2=1.075,P＞0.05]、肌腱炎[4.6％ (18/390) vs 1.5％(14/390),x2=0.521,P＞0.05]、腱鞘水肿[9.5％ (37/390) vs 7.7％ (30/390),x2=0.800,P＞0.05]方面的检出率差异无统计学意义;HFUS在观察关节滑膜增殖[15.4％ (132/858) vs 7.7％(66/858),x2=24.870,P＜0.01]、关节积液[10.4％(89/858) vs 6.1％(52/858),x2=10.578,P＜0.05]方面明显的检出率优于MRI; MRI在观察骨髓水肿方面[0％ (0/858)vs 5.5％ (47/858),x2=48.324,P＜0.05]优于HFUS.结论 HFUS在检测早期RA患者病变关节的骨侵蚀、肌腱炎、腱鞘水肿、滑膜增殖、关节积液等方面,与MRI具有等同、甚至更优异的诊断价值.
目的 探討高頻綵色多普勒超聲(HFUS)及MRI在早期類風濕關節炎(RA)患者關節病變檢測中的應用價值.方法 迴顧性分析2010年1-12月在山東煙檯毓璜頂醫院確診的39例RA患者的臨床資料,男20例,女19例,平均年齡(51.8±2.2)歲.所有患者雙手、雙腕均行HFUS、MR檢查,重點觀察有無骨侵蝕、骨髓水腫、滑膜增殖、滑膜血流、關節積液、肌腱炎等影像錶現,併對兩種檢查方法的結果採用x2檢驗進行對比分析.結果 共檢查關節1 248箇,HFUS和MRI在觀察骨侵蝕[5.1％ (44/858) vs 4.1％ (35/858),x2=1.075,P＞0.05]、肌腱炎[4.6％ (18/390) vs 1.5％(14/390),x2=0.521,P＞0.05]、腱鞘水腫[9.5％ (37/390) vs 7.7％ (30/390),x2=0.800,P＞0.05]方麵的檢齣率差異無統計學意義;HFUS在觀察關節滑膜增殖[15.4％ (132/858) vs 7.7％(66/858),x2=24.870,P＜0.01]、關節積液[10.4％(89/858) vs 6.1％(52/858),x2=10.578,P＜0.05]方麵明顯的檢齣率優于MRI; MRI在觀察骨髓水腫方麵[0％ (0/858)vs 5.5％ (47/858),x2=48.324,P＜0.05]優于HFUS.結論 HFUS在檢測早期RA患者病變關節的骨侵蝕、肌腱炎、腱鞘水腫、滑膜增殖、關節積液等方麵,與MRI具有等同、甚至更優異的診斷價值.
목적 탐토고빈채색다보륵초성(HFUS)급MRI재조기류풍습관절염(RA)환자관절병변검측중적응용개치.방법 회고성분석2010년1-12월재산동연태육황정의원학진적39례RA환자적림상자료,남20례,녀19례,평균년령(51.8±2.2)세.소유환자쌍수、쌍완균행HFUS、MR검사,중점관찰유무골침식、골수수종、활막증식、활막혈류、관절적액、기건염등영상표현,병대량충검사방법적결과채용x2검험진행대비분석.결과 공검사관절1 248개,HFUS화MRI재관찰골침식[5.1％ (44/858) vs 4.1％ (35/858),x2=1.075,P＞0.05]、기건염[4.6％ (18/390) vs 1.5％(14/390),x2=0.521,P＞0.05]、건초수종[9.5％ (37/390) vs 7.7％ (30/390),x2=0.800,P＞0.05]방면적검출솔차이무통계학의의;HFUS재관찰관절활막증식[15.4％ (132/858) vs 7.7％(66/858),x2=24.870,P＜0.01]、관절적액[10.4％(89/858) vs 6.1％(52/858),x2=10.578,P＜0.05]방면명현적검출솔우우MRI; MRI재관찰골수수종방면[0％ (0/858)vs 5.5％ (47/858),x2=48.324,P＜0.05]우우HFUS.결론 HFUS재검측조기RA환자병변관절적골침식、기건염、건초수종、활막증식、관절적액등방면,여MRI구유등동、심지경우이적진단개치.
Objective To investigate the value of high frequency ultrasonography (HFUS) and nucler magnetic resonance imaging (MRI) in the early diagnosis of rheumatoid arthritis(RA).Methods The data of 39 consecutive patients with RA admitted in Yantai Yuhuangding hospital from January 2010 to December 2010 were retrospectively studied.In 39 cases of patients,males were 20 cases,female were 19 cases,the average age was (51.8 ±2.2) years.Bilateral bilateral wrist and hands jionts were examined by HFUS and MRI.Bone erosion,bone marrow edema,synovial proliferation,synovial blood flow,jiont effusion and tendinitis were received and the differences between the two examination results were compared.Chi-square test was used for statistical analysis.Results All of the 1 248 joints were examined.There were no differences between HFUS and MRI in bone erosion [5.1％ (44/858) vs 4.1％ (35/858),x2 =1.075,P ＞ 0.05],tendinitis [4.6％ (18/390) vs 1.5 ％ (14/390),x2 =0.521,P ＞ 0.05],tendon sheath edema [9.5％ (37/390) vs 7.7％ (30/390),x2 =0.800,P ＞ 0.05].HFUS was better than MRI in Synovial proliferation [15.4％ (132/858) vs 7.7％ (66/858),x2 =24.870,P ＜ 0.05],joint effusion [10.4％ (89/858) vs6.1％ (52/858),x2 =10.578,P ＜0.05].MRI was better than HFUS in bone marrow edema [0％(0/858) vs 5.5％(47/858),x2 =48.324,P＜0.05].Conclusions HFUS is equivalent or better than MRI in bone erosion,tendinitis,tendon sheath edema and synovial proliferation.
