类风湿病患者髋关节受累骨肌系统影像学表现与临床特点的相关性

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摘要目的探讨类风湿病患者髋关节受累骨肌系统影像学表现与临床特点的相关性。方法采用回顾性研究方法，2013年8月~2017年1月选择在大连市第二人民医院（以下简称“我院）进行诊治的类风湿病患者65例作为观察组，同期选择在我院进行体检的健康志愿者65例作为对照组。采用Harris评分评定髋关节功能，记录MR骨肌系统影像学表现，分析两者的相关性。结果观察组与对照组髋关节功能Harris评分优良率分别为53.8%和100.0%，观察组明显低于对照组（P < 0.05）。观察组MR影像学特征表现为滑膜炎46例，骨髓水肿32例，骨髓侵蚀28例；对照组影像学特征表现为滑膜炎2例，骨髓水肿1例，骨髓侵蚀1例，两组对比差异均有统计学意义（P < 0.05）。观察组与对照组的髋关节T2值分别为（32.39±1.87）和（23.11±1.66），观察组高于对照组（t = 8.298，P < 0.05）。Spearman's等级相关检验分析显示，观察组的髋关节功能Harris评分与滑膜炎、骨髓水肿、骨髓侵蚀与髋关节T2值均呈正相关（rs = 0.452、0.399、0.499、0.633，均P < 0.01）。结论 MR骨肌系统在类风湿病患者中的应用能有效反映髋关节受累情况，影像学特征与髋关节功能密切相关，对评价类风湿病患者髋关节受累具有一定临床指导价值。

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	宋岩奇赵文宋敏高克勇

关键词 ：类风湿病, 髋关节受累, 骨肌系统, 影像学表现, 相关性

Abstract：Objective To investigate the correlation between musculoskeletal system imaging features and clinical features in patients with rheumatoid arthritis and hip involvement. Methods Retrospective study was used in this study, from August 2013 to January 2017, 65 patients with rheumatism in the Second People's Hospital of Dalian (“our hospital” for short) for diagnosis and treatment were selected as the observation group, and 65 cases of healthy volunteers examined in our hospital were selected as the control group at the same period, the Harris score was used to evaluated the hip joint function, and the MR musculoskeletal imaging features was recorded and the correlation results was analyzed. Results The excellent and good rate of Harris score in the observation group and the control group were 53.8% and 100.0%, respectively, and the observation group was significantly lower than that of the control group (P < 0.05). There were 46 cases of synovitis in the observation group of the MR imaging features, 32 cases were bone marrow edema, 28 cases of bone erosion; so that were 2, 2 cases and 1 case in the control group, there were statistically significant difference between the two groups (P < 0.05). The hip joint T2 values of the observation group and the control group were (32.39±1.87) and (23.11±1.66), respectively, and the observation group was significantly higher than that of the control group (t = 8.298, P < 0.05). Spearman′s rank correlation test showed that, there were significant positive correlation between the Harris and T2 values of the synovitis, bone marrow edema, bone erosion and hip joint (rs = 0.452, 0.399, 0.499, 0.633, all P ＜ 0.01). Conclusion MR musculoskeletal system used in rheumatoid arthritis patients can effectively reflect the hip involvement, and its imaging features, it is closely related with the function of hip join, it has clinical guidance values for evaluation hip joint involvement in patients with rheumatic diseases.

Key words： Rheumatoid arthritis Hip involvement Musculoskeletal system Imaging findings Correlation

引用本文:

宋岩奇赵文宋敏高克勇. 类风湿病患者髋关节受累骨肌系统影像学表现与临床特点的相关性[J]. 中国医药导报, 2018, 15(4): 117-119,125.
SONG Yanqi ZHAO Wen SONG Min GAO Keyong. Correlation between musculoskeletal system imaging features and clinical features in patients with rheumatoid arthritis and hip involvement. 中国医药导报, 2018, 15(4): 117-119,125.

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http://www.yiyaodaobao.com.cn/CN/ 或 http://www.yiyaodaobao.com.cn/CN/Y2018/V15/I4/117

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