幼年特发性关节炎累及腕关节MRI表现及其分布特点研究

王春立; 陈  新; 宋  杰; 刘欣瑶; 许秀娥; 宇文谦

doi:10.12117/jccmi.2019.05.014

中国临床医学影像杂志 ›› 2019, Vol. 30 ›› Issue (5) : 362-364. DOI: 10.12117/jccmi.2019.05.014

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幼年特发性关节炎累及腕关节MRI表现及其分布特点研究

王春立，陈新，宋杰，刘欣瑶，许秀娥，宇文谦

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MRI manifestation and characteristics in distribution of the wrist joint in juvenile idiopathic arthritis

WANG Chun-li, CHEN Xin, SONG Jie, LIU Xin-yao, XU Xiu-e, YUWEN Qian

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摘要

目的：分析幼年特发性关节炎（JIA）累及腕关节时的MRI图像特点，对所出现征象进行归纳总结。方法：回顾性研究临床已确诊JIA，并出现腕关节肿胀、疼痛症状患者42例的MRI图像，针对滑膜增生、关节积液、腱鞘炎、骨髓水肿、骨侵蚀五个征象进行分析。结果：37例出现滑膜增强伴不同程度增厚，33例出现腱鞘炎，34例出现关节积液；32例出现骨髓水肿，0例骨侵蚀；滑膜增厚以桡腕关节、远侧尺桡关节出现频率较高；腱鞘炎更易累及伸肌群；骨髓水肿以头状骨、钩状骨受累明显。结论：MRI及MRI增强扫描可以全面评价JIA腕关节受累情况，MRI增强扫描滑膜增强是诊断JIA累及腕关节的主要指标。

关键词

关节炎 / 腕关节 / 磁共振成像

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王春立，陈新，宋杰，刘欣瑶，许秀娥，宇文谦. 幼年特发性关节炎累及腕关节MRI表现及其分布特点研究[J]. 中国临床医学影像杂志. 2019, 30(5): 362-364 https://doi.org/10.12117/jccmi.2019.05.014

WANG Chun-li, CHEN Xin, SONG Jie, LIU Xin-yao, XU Xiu-e, YUWEN Qian. MRI manifestation and characteristics in distribution of the wrist joint in juvenile idiopathic arthritis[J]. Journal of China Clinic Medical Imaging. 2019, 30(5): 362-364 https://doi.org/10.12117/jccmi.2019.05.014

中图分类号： Ｒ684.3 Ｒ445.2

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