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目的探讨对早期类风湿性关节炎进行手、腕部关节MRI扫查的临床诊断价值。方法随机选取驻马店市中心医院2012年6月—2014年3月期间收治的类风湿关节炎患者60例,分别对患者进行双手腕关节和掌指关节MRI扫描和X线平片检查,对患者的临床检查结果进行对比分析。结果 MRI对于骨侵蚀的检出率明显高于X线平片,差异具有显著性(P<0.05)。结论对早期类风湿性关节炎患者实施MRI扫描,有助于对滑膜炎、骨侵蚀等病理改变进行早期诊断,同传统X线扫描相比具有更高的敏感性和检出率
Objective To investigate the clinical value of MRI scan of hand and wrist joint in patients with early rheumatoid arthritis. Methods Sixty patients with rheumatoid arthritis who were treated in Central Hospital of Zhumadian from June 2012 to March 2014 were randomly selected. The patients were examined by both wrist and metacarpophalangeal joint MRI and plain radiograph. Clinical examination results were compared. Results The detection rate of bone erosion by MRI was significantly higher than that of plain radiography, the difference was significant (P <0.05). Conclusion The MRI scan of patients with early stage rheumatoid arthritis is helpful for the early diagnosis of pathological changes such as synovitis and bone erosion. Compared with traditional X-ray scan, MRI scan has higher sensitivity and detection rate