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[1]蔡曉菡 楊舒萍 沈浩霖 鐘 嶸 江文婷 賴振漢 呂國榮.高頻超聲、X線和MRI在銀屑病關(guān)節(jié)炎手關(guān)節(jié)病變中的對照 研究[J].福建醫(yī)藥雜志,2019,41(05):5-8.
 CAI Xiaohan,YANG Shuping,SHEN Haolin,et al.High frequency ultrasound, X-ray and magnetic resonance imaging in the control of psoriatic arthritis of the hand joint[J].FUJIAN MEDICAL JOURNAL,2019,41(05):5-8.
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高頻超聲、X線和MRI在銀屑病關(guān)節(jié)炎手關(guān)節(jié)病變中的對照 研究()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
41
期數(shù):
2019年05期
頁碼:
5-8
欄目:
臨床研究
出版日期:
2019-10-15

文章信息/Info

Title:
High frequency ultrasound, X-ray and magnetic resonance imaging in the control of psoriatic arthritis of the hand joint
文章編號:
1002-2600(2019)05-0005-04
作者:
蔡曉菡 楊舒萍 沈浩霖 鐘 嶸 江文婷 賴振漢 呂國榮1
福建醫(yī)科大學附屬漳州市醫(yī)院超聲科(漳州 363000)
Author(s):
CAI XiaohanYANG ShupingSHEN HaolinZHONG RongJIANG WentingLAI ZhenhanLV Guorong
Department of Ultrasound,the Affiliated Zhangzhou Municipal Hospital,Fujian Medical University, Zhangzhou,Fujian 363000,China
關(guān)鍵詞:
銀屑病關(guān)節(jié)炎 高頻超聲 X線 MRI 手關(guān)節(jié)病變
Keywords:
psoriatic arthritis high frequency ultrasonography X-ray MRI hand joint disease
分類號:
R684.3; R445.1
文獻標志碼:
B
摘要:
目的 分析對比高頻超聲、X線和MRI在銀屑病關(guān)節(jié)炎手關(guān)節(jié)病變中的應用價值。 方法 選取有手關(guān)節(jié)病變的銀屑病關(guān)節(jié)炎患者30例,分別應用高頻超聲、X線及MRI對其進行觀察,分析比較3種方法的優(yōu)缺點。結(jié)果 超聲與MRI對銀屑病關(guān)節(jié)炎手關(guān)節(jié)病變(滑膜增厚、關(guān)節(jié)腔積液、骨質(zhì)破壞和血流信號增多)均有較高的檢出率,但兩者間差異無統(tǒng)計學意義(P>0.05)。MRI可檢查出骨髓水腫,對關(guān)節(jié)腔內(nèi)病變更有優(yōu)勢,而超聲側(cè)重于關(guān)節(jié)腔外的病變。在關(guān)節(jié)的骨質(zhì)破壞和新骨形成方面,X線與超聲和MRI比較有更高的檢出率(P<0.05)。結(jié)論 高頻超聲、X線和MRI在銀屑病關(guān)節(jié)炎手關(guān)節(jié)病變中的應用價值各有優(yōu)勢,可以相互補充。超聲和MRI較X線可以更加準確、全面地診斷病變,可成為銀屑病關(guān)節(jié)炎手關(guān)節(jié)病變診斷的首選方法。
Abstract:
Objective To compare the value of high frequency ultrasound, X-ray and MRI in evaluation of psoriatic arthritis with the hand joint involved.Methods A total of 30 cases of psoriatic arthritis with hand joint lesions were selected and observed respectively by high-frequency ultrasound, X-ray and MRI.The advantages and disadvantages of the three methods were analyzed and compared.Results In psoriatic arthritis, the difference of the detection rate of hand joint lesions(synovial thickening, synovial effusion, bone destruction and increased blood flow signal)between MRI and ultrasound was not statistically significant(P>0.05).MRI could detect bone marrow edema and was more advantageous for intra-articular lesions than ultrasound.However, ultrasound focused on lesions outside the articular cavity.Compared with ultrasound and MRI, X-ray had higher detection ratio of bone destruction and new bone formation of the joints(P<0.05).Conclusion High frequency ultrasound, X-ray and MRI, which are complementary, have their own advantages in evaluation of psoriatic arthritis with the hand joint involved.Ultrasound and MRI are more accurate and comprehensive than X-ray and can be the preferred methods for the diagnosis of hand joint lesions of psoriatic arthritis.

參考文獻/References:

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備注/Memo

備注/Memo:
基金項目:2017年福建省自然科學基金項目(2017J01385) 1 福建省泉州醫(yī)高專母嬰健康服務技術(shù)應用協(xié)同創(chuàng)新中心,通信作者,Email: [email protected]
更新日期/Last Update: 2019-10-15