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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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

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	SONG Yanqi ZHAO Wen SONG Min GAO Keyong

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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[J]. 中国医药导报, 2018, 15(4): 117-119,125.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2018/V15/I4/117

[1] 刘建军，白洁，李晓平，等.类风湿关节炎四肢关节病变的磁共振影像学表现[J].中国药物与临床，2016，16（10）：1431-1433.
[2] Zoga AC，Hegazi TM，Roedl JB. Algorithm for Imaging the Hip in Adolescents and Young Adults [J]. Radiol Clin North Am，2016，54（5）：913-930.
[3] Massarotti EM. Clinical and patient-reported outcomes in clinical trials of abatacept in the treatment of rheumatoid arthritis [J]. Clin Ther，2008，30（3）：429-442.
[4] 刘明，袁新宇，吴凤岐，等.MRI评价幼年特发性关节炎髋关节病变评分方法的改良研究[J].磁共振成像，2016， 22（01）：45-50.
[5] Griffin DR，Dickenson EJ，Wall PD，et al. Protocol for a multicentre，parallel-arm，12-month，randomised，controlled trial of arthroscopic surgery versus conservative care for femoroacetabular impingement syndrome （FASHIoN） [J]. BMJ Open，2016，6（8）：e012453.
[6] Jayakar R，Merz A，Plotkin B，et al. Magnetic resonance arthrography and the prevalence of acetabular labral tears in patients 50 years of age and older [J]. Skeletal Radiol，2016，45（8）：1061-1067.
[7] 张英，汪桦，杨金妹，等.髋关节一过性骨髓水肿综合症的临床特征和MRI表现与鉴别分析[J].中国CT和MRI杂志，2016，14（10）：124-126.
[8] Jackson KA，Glyn-Jones S，Batt ME，et al.Assessing risk factors for early hip osteoarthritis in activity-related hip pain：a Delphi study [J]. BMJ Open，2015，5（9）：e007609.
[9] Barr AJ，Campbell TM，Hopkinson D，et al. A systematic review of the relationship between subchondral bone features，pain and structural pathology in peripheral joint osteoarthritis [J]. Arthritis Res Ther，2015，25（17）：228-231.
[10] 左涛生，许开喜，陈新建，等.低场磁共振成像对强直性脊柱炎的髋关节病变诊断价值[J].实用医学影像杂志，2015，16（3）：192-196.
[11] Rushton MD，Young DA，Loughlin J，et al. Differential DNA methylation and expression of inflammatory and zinc transporter genes defines subgroups of osteoarthritic hip patients [J]. Ann Rheum Dis，2015，74（9）：1778-1782.
[12] 陈兴灿，邬亚军，潘永青，等.激素性股骨头坏死与股骨头、颈部骨髓脂肪含量关系的MRI研究[J].浙江医学，2014，（20）：1684-1686，1690.
[13] Jungmann PM，Nevitt MC，Baum T，et al. Relationship of unilateral total hip arthroplasty （THA） to contralateral and ipsilateral knee joint degeneration-a longitudinal 3T MRI study from the Osteoarthritis Initiative （OAI） [J]. Osteoarthritis Cartilage，2015，23（7）：1144-1153.
[14] 胡炜，邹鸿星，杨淮河，等.膝关节类风湿性关节炎与骨关节炎的临床异同点及MRI影像学表现分析[J].中国CT和MRI杂志，2017，15（1）：134-136.
[15] Nusman CM，Ording Muller LS，Hemke R，et al. Current Status of Efforts on Standardizing Magnetic Resonance Imaging of Juvenile Idiopathic Arthritis：Report from the OMERACT MRI in JIA Working Group and Health-e-Child [J]. J Rheumatol，2016，43（1）：239-244.
[16] 陈永刚.超声及核磁共振在类风湿性关节炎膝关节病变诊断中的应用比较[J].浙江临床医学，2016，18（8）：1503-1504.
[17] Lee KS，Kong S，Kim J，et al. Osteomyelitis of Bilateral Femoral Heads After Childbirth：A Case Report [J]. Ann Rehabil Med，2015，39（3）：498-503.
[18] Harvey NC，Kanis JA，Odén A，et al. Efficacy of weekly teriparatide does not vary by baseline fracture probability calculated using FRAX [J]. Osteoporos Int，2015，26（9）：2347-2353.
[19] 孟景红，魏平，张文云，等.超声在早期类风湿关节炎诊治中的应用价值[J].中华超声影像学杂志，2016，25（5）：450-452.
[20] Brunt LH，Norton JL，Bright JA，et al. Finite element modelling predicts changes in joint shape and cell behaviour due to loss of muscle strain in jaw development [J]. J Biomech，2015，48（12）：3112-3122.
[21] Williams FM，Kalson NS，Fabiane SM，et al. Joint Stiffness Is Heritable and Associated with Fibrotic Conditions and Joint Replacement [J]. PLoS One，2015，10（7）：e0133629.