CAJ | 학술논문

目的：探讨超声对类风湿关节炎患者腕关节病变的诊断价值。方法：随机选取类风湿关节炎患者55例作为观察组，30例健康成年人作为对照组，分别进行腕关节超声检查，并抽取30例观察组患者对其行MRI检查。结果：超声可观察到类风湿关节炎患者腕关节不同程度滑膜增生、关节积液、肌腱腱鞘炎情况，其阳性检出率与MRI相比，差异无统计学意义（P>0.05），具有很高的一致性。MRI对类风湿关节炎患者腕关节骨侵蚀的检出率高于超声检查。结论：超声在诊断类风湿关节炎患者腕关节病变中，发挥着与MRI近乎相等的作用，可为临床对类风湿关节炎患者腕关节病变的诊断提供一种更简单经济的检查方法。
목적：탐토초성대류풍습관절염환자완관절병변적진단개치。방법：수궤선취류풍습관절염환자55례작위관찰조，30례건강성년인작위대조조，분별진행완관절초성검사，병추취30례관찰조환자대기행MRI검사。결과：초성가관찰도류풍습관절염환자완관절불동정도활막증생、관절적액、기건건초염정황，기양성검출솔여MRI상비，차이무통계학의의（P>0.05），구유흔고적일치성。MRI대류풍습관절염환자완관절골침식적검출솔고우초성검사。결론：초성재진단류풍습관절염환자완관절병변중，발휘착여MRI근호상등적작용，가위림상대류풍습관절염환자완관절병변적진단제공일충경간단경제적검사방법。
Objective:To investigate the diagnostic value of ultrasound for the wrist arthropathy of patients with rheumatoid arthritis.Methods:55 cases with rheumatoid arthritis were randomly selected as the observation group and 30 healthy adults were selected as the control group.The wrist ultrasound examination was made for them all to observe the thickness of synovium,blood lfow,joint effusion,tendons and bone cortex. 30 cases out of the observation group were selected for MRI examination.Results:Ultrasound could be used to observe synovium hyperplasia with different degree,joint effusion and tenosynovitis in patients with rheumatoid arthritis.The difference between the positive rate and the MRI was not significant (P > 0.05),while with great consistency.The detection rate of MRI for carpal bone erosion was higher than that of the ultrasonography. Conclusion:Ultrasound in the diagnosis of rheumatoid arthritis patients with carpal lesions played almost the same effect as MRI examination,which could provide a more simple and economic method for clinical diagnosis of wrist joint lesions in patients with rheumatoid arthritis.