类风湿性腕关节炎的MRI表现及临床对比应用研究_王峻.pdfVIP

·35 · 200 38 　Chin J Radiol, April 200 , Vol 38, No. ·· M RI 王峻　马强　牛金亮　谢维娜　宋志珍　郑洁 　　【】　　(rheumatoid arthritis, RA)M RI 。　1987 (ARA ) RA 50 , 15 , 35 , M R 。SE T WI、(STIR)、T WI 1 1 。10 。、、 MRI 。　50 , MRI 、, 38 MRI , 21 , 37 , 37 。、、 、(HAQ )、(AIMS)、 , (P 0.001)。、 (MTP)、(APF)(P 0.02 、0.025、0.018)。　 M RI , M RI , MRI 。 【】　, ;　;　;　;　 A study comparing MRI with clinical examinations on wrists with rheumatoid arthritis　　WA N G ＊ ＊ J un , MA Qiang, NI U Jin-liang, X IE Wei-na, S ON G Zhi-z hen, Z HEN G Jie. Departm ent o R ad iology , The Second Hosp ital, S han x i Medical Un iversity , Taiy uan 03 0001, China 【Abstract】　Objective　To study the appearances of rheumatoid arthritis(RA)on MRI, and compare M RI with clinical examinations on w rists with RA.Methods　Fifty patients, fulfilled 1987 American Rheumatism Association(ARA)revised criteria, and 10 age-matched healthy controls entered the study.T - 1 w eighted spin echo, short time inversion recovery (STIR)of both w rists, gadolinium contrast material- enhanced sequences of dominant wrists were performed in the coronal planes.MRl,plain wrist radiographs, clinical date, including sw ollen joint, patient global assessment (AIMS ), and laboratory examinations including ESR, RF,APF, and AKA were obtained at the same time.Functional disability w as assessed using the Health Assessment Questionnaire Disability Score.Results　In 50 patients, all had pannus on M RI of w rists, 38 patients had enhanced signal intensity for pannus, 21 patients had bone marrow edema, 37 patients had joint effusion, and 37 patients had bone erosions.There were significant di