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类风湿性关节炎的影像学表现
引用本文:兰剑明,崔飞云,黄必润,张秀兰,郑国勤,陈解放.类风湿性关节炎的影像学表现[J].实用医学影像杂志,2009,10(2):106-108.
作者姓名:兰剑明  崔飞云  黄必润  张秀兰  郑国勤  陈解放
作者单位:湖北省荆州市肿瘤医院放射科,湖北,荆州,434002
摘    要:目的探讨类风湿性关节炎的影像特征,提高其诊断准确率。方法对经临床及实验室确诊的56例类风湿性关节炎患者的影像学表现进行回顾性分析。结果在56例的X线片上,手足小关节附近软组织呈梭形肿胀见于7例。表现为骨质疏松、关节间隙狭窄、骨性关节面骨皮质边缘不规整43例。骨质疏松、破坏、缺损、关节半脱位、骨性强直6例。结论类风湿性关节炎的影像学表现具有一定特征,临床、影像、实验室相结合可提高本病的诊断准确率。

关 键 词:类风湿性关节炎  放射学检查  体层摄影术,X线计算机  磁共振成像

Imaging findings of rheumatoid arthritis
Lan Jianming,Cui Feiyun,Huang Birun,Zhang Xiulan,Zheng Guoqin,Chen Jiefang.Imaging findings of rheumatoid arthritis[J].Journal of Practical Medical Imaging,2009,10(2):106-108.
Authors:Lan Jianming  Cui Feiyun  Huang Birun  Zhang Xiulan  Zheng Guoqin  Chen Jiefang
Institution:.(Department of Radiology, Hubei Provincial Jingzhou Municipal Tumor Hospital, Jingzhoushi 434002,China)
Abstract:Objective To study the imaging findings of rheumatoid arthritis and to elevate the diagnostic accuracy.Methods The imaging findings of 56 patients with clinically and experimentally proved rheumatoid arthritis were analyzed retrospectively.Results A- mong 56 cases,soft tissue spindle-swelling around the small joints of hand and foot was found in 7,osteoporosis,articular space narrowing, and osteoarticular surface with irregular hone corter edge in 43,osteoporsis,bone destruction and defect,articular half dislocation and osteal rigidity in 6.Concluslon The combination of imaging findings of rheumatoid arthritis and its clinical observations as well as laboratory tests can significantly elevate the diagnostic accuracy.
Keywords:Rheumatoid arthritis  Radiography  Tomography  X-ray computed  Magnetic resonance imaging
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