摘要
目的：探讨类风湿关节炎患者（RA）手部X线的表现与临床病程的关系。方法：对56例临床资料完整的RA病例行双手的CR后前位X线检查,并按病程分为2组（A组为为符合类风湿关节炎X线I期表现的30例，B组为符合类风湿关节炎X线II期以上表现的病人26例），分别统计类风湿关节炎患者的活动性指标RF、ESR、CRP及免疫球蛋白的水平并进行两组比较。结果：两组RA患者的急性炎性反应指标ESR、CRP的数值两组比较，差异无显著性（P>0.05）。而类风湿因子及免疫球蛋白的水平，对照组明显高于研究组，两组差异具有显著性（P<0.05）。结论：类风湿关节炎的骨关节的损害的程度与RF和免疫球蛋白的水平有关，而手部X线的影像学检查在RA的早期诊断及判断预后方面具有重要的作用。
Abstract
Objective: To study the relationship between clinical manifestation and hand X-ray in rheumatoid arthritis. Methods: Two groups are divided, one was A group: 30 cases RA patients with grade I X-ray, and B group: 26 cases RA patients with grade II and above X-ray. Levels of ESR, CRP, RF and IgG were detected. Result: There were no difference of ESR and CRP levels between the two groups, but there were significant difference of RF and IgG levels between the two groups(P<0.05). Conclusion: There was closely relationship between RF, IgG levels and the damage degree of bone and joint. It was very important to take hand X-ray examination for early diagnosis and prognosis of RA patients.
关键词
关节炎 /
类风湿 /
手 /
放射摄影术
Key words
arthritis /
rheumatoid /
hand /
radiography
张 宁;金 磊.
56例类风湿关节炎患者手部影像学资料分析[J]. 中国临床医学影像杂志. 2006, 17(11): 638-639
ZHANG Ning;JIN Lei.
Radiological analysis of the hand in 56 patients with rheumatoid arthritis[J]. Journal of China Clinic Medical Imaging. 2006, 17(11): 638-639
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