肌骨超声与MRI对类风湿性指关节炎的病情评估研究  

Research of Evaluating Severity Effect in Rheumatoid Finger Arthritis by Musculoskeletal Ultrasound and MRI

作　　者：李英梅[1] 刘佳[1] 田哲 戴冰冰[2] 岳庆雄[1] 陶文晖 周瑜[1] LI Ying-mei;LIU Jia;TIAN Zhe;DAI Bing-bing;YUE Qing-xiong;TAO Wen-hui;ZHOU Yu(Department of Ultrasound Diagnosis,Dalian Central Hospital,Dalian 116033,Liaoning Province,China;Department of Rheumatology and Immunology,Dalian Central Hospital,Dalian 116033,Liaoning Provicne,China)

机构地区：[1]大连市中心医院超声诊断科,辽宁大连116033 [2]大连市中心医院风湿免疫科,辽宁大连116033

出　　处：《中国CT和MRI杂志》2022年第3期165-167,共3页Chinese Journal of CT and MRI

摘　　要：目的研究肌骨超声与MRI对类风湿性指关节炎的病情评估效果。方法选择我院2017年3月至2020年3月进行治疗的71例疑似类风湿性指关节炎患者纳入本次研究,所有入选者均同时接受肌骨超声与MRI检查,比较两种检查方式诊断效果。结果两种检查方式诊断类风湿性指关节炎的灵敏度、特异度、准确率、阳性预测值、阴性预测值对比,差异不显著(P>0.05);肌骨超声检查对关节腔积液的检出率高于MRI检查,组间对比差异显著(P<0.05);两种检查方式对滑膜增生、骨侵蚀的检出率对比,差异不显著(P>0.05);类风湿性指关节炎不同滑膜厚度分级患者CRP、RF、ESR水平对比,差异不显著(P>0.05);不同滑膜血流信号分级患者CRP、RF、ESR水平对比差异显著(P<0.05);类风湿性指关节炎患者活动期滑膜内动脉阻力指数低于非活动期,组间对比差异显著(P<0.05)。结论肌骨超声与MRI对类风湿性指关节炎的诊断效果相似,但肌骨超声能够通过滑膜厚度、血流信号以及滑膜内动脉阻力指数反映患者的炎性病变,在病情评估方面更具优势。Objective To explore the evaluating severity effect in rheumatoid finger arthritis by musculoskeletal ultrasound and MRI.Methods 71 cases of suspected patients with rheumatoid finger arthritis were brought into the study.All the patients were reviewed by musculoskeletal ultrasound and MRI.The diagnosis effect and evaluating severity effect were observed.Results There were no significant difference on the sensitivity,specificity,precision,positive predictive value,negative predictive value between the two ways to check(P<0.05);The detectable rate of joint fluid for the musculoskeletal ultrasound was higher than the MRI(P<0.05);There were no significant difference on the detectable rate of synovial hyperplasia and bone erosion between the two ways to check(P>0.05);There were no significant difference on the levels of CRP,RF,ESR between the different synovial thickness grading(P>0.05);There were significant difference on the levels of CRP,RF,ESR between the different synovial blood flow signal classification(P<0.05);The internal synovial artery resistance index of active stage was lower than the non-active stage(P<0.05).Conclusion It has similar diagnosis effect in rheumatoid finger arthritis by musculoskeletal ultrasound or MRI.But the musculoskeletal ultrasound can reflect the inflammatory lesions by way of synovial membrane thickness,blood flow signal and internal synovial artery resistance index,it has better evaluating severity effect.

关 键 词：类风湿性指关节炎 肌骨超声 MRI 诊断 病情评估 

分 类 号：R445.2[医药卫生—影像医学与核医学] R445.3[医药卫生—诊断学]