磁共振成像在早期风湿病骨关节病的诊断价值  

The value of MR imaging in early diagnosis of rheumatic arthritis

作　　者：许建荣[1] 邓霞[1] 

机构地区：[1]上海交通大学医学院附属仁济医院放射科,200127

出　　处：《磁共振成像》2011年第2期81-84,共4页Chinese Journal of Magnetic Resonance Imaging

摘　　要：风湿病骨关节病包括一系列以滑膜炎为特点,并导致软骨、骨、关节、肌肉和韧带等损伤的复杂疾病,如类风湿性关节炎(RA)、强直性脊柱炎(AS)、骨关节炎(OA)、系统性红斑狼疮(SLE)、痛风和硬皮病等。这些病变将最终导致关节畸形和功能障碍,早期干预治疗能够延缓病情的进展,因此早期诊断尤为重要。MRI对滑膜、软骨以及肌腱软组织等的病变非常敏感,已经逐渐发展成为风湿病骨关节病早期诊断和鉴别诊断不可缺少的影像学检查方法。本文将对各种风湿病骨关节病的影像学特点进行综述,探讨MRI在早期风湿病骨关节病诊断中的价值。Rheumatic arthritis is a series of diseases characterized by synovitis resulting in cartilage, bone, joint, muscle and ligament damage, which includes rheumatoid arthritis（RA）, ankylosing spondylitis （AS）, osteoarthritis （OA）, systemic lupus erythematosus （SLE）, gout and scleroderma etc. These diseases will eventually develop to joint deformity and joint dysfunction. Early clinical interference would slow the progress of the diseases, so it＇s very important to diagnose as early as we can. MR imaging is sensitive to detect the changes of synovium, cartilage, ligament etc. During the past few years, MRI has developed to be a useful tool to diagnose and make a differential diagnosis of different rheumatic arthritis. In this article, we summarize the MRI characterization of different rheumatic arthritis to invstigate the value of MR imaging in early diagnosis of rheumatic arthritis.

关 键 词：关节炎 风湿病 早期诊断 磁共振成像 类风湿性关节炎 强直性脊柱炎 骨关节炎 系统性红斑狼疮 痛风 硬皮病 

分 类 号：R445.2[医药卫生—影像医学与核医学] R593.22[医药卫生—诊断学]