2006, Vol. 17 Issue (11): 638-639    DOI:
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56例类风湿关节炎患者手部影像学资料分析
张 宁,金 磊
中国医科大学附属盛京医院风湿免疫科,辽宁 沈阳 110004
Radiological analysis of the hand in 56 patients with rheumatoid arthritis
ZHANG Ning, JIN Lei
Department of Rheumatology and Immunology, Shengjing Hospital of China Medical University, Shenyang 110004, China
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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。
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张 宁
金 磊
关键词 关节炎类风湿放射摄影术    
AbstractObjective: 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.
Key wordsarthritis    rheumatoid    hand    radiography
收稿日期: 2006-03-13     
:  R593.21  
  R814.41  
引用本文:   
张 宁;金 磊. 56例类风湿关节炎患者手部影像学资料分析[J]. , 2006, 17(11): 638-639.
ZHANG Ning;JIN Lei. Radiological analysis of the hand in 56 patients with rheumatoid arthritis. , 2006, 17(11): 638-639.
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