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Comparison of radiography, CT and MR imaging in detection of arthropathies in patients with hemophilia
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF RADIOLOGY
- Issue:
- 2
- DOI:
- 10.3760/j.issn:1005-1201.2007.02.022
- Key Word:
- 血友病A;关节炎;磁共振成像;体层摄影术,X线计算机;放射摄影术
Abstract： 目的 比较观察血友病患者关节病变的X线、CT和MR影像显示差异.方法 选取14例血友病患者41个症状关节的X线、CT和MR影像.每个关节的3种影像学检查均在1 d内完成.各关节病变程度均行X线分级[将关节病变严重者(5级)除外].影像观察分别选用软组织肿胀或关节积液、骨质疏松、骨骺增大、关节侵蚀、关节面下囊肿、关节间隙狭窄、骨髓水肿、关节内出血、滑膜增厚及髁间窝增大和前、后十字韧带病变(仅用于膝关节MRI评估)等征象进行X线、CT和MR影像比较分析.结果 14例血友病患者41个症状关节X线分级中0级5个,1级7个,2级6个,3级8个,4级15个.软组织肿胀或关节积液X线显示有33个关节,CT和MRI均为34个;骨侵蚀病变MRI检出34个关节,CT 33个关节,X线20个关节.关节面下囊肿MRI显示21个关节,CT显示18个关节,X线显示9个关节.χ2值检验表明MRI和CT分别与X线比较差异均有统计学意义(P值均＜0.05),MRI与CT比较差异无统计学意义(P＞0.05),但MRI检出骨侵蚀和关节面下囊肿病灶数均多于CT和X线;MRI显示骨髓水肿者14个关节,关节内出血者34个关节,滑膜增厚者27个关节.结论 在显示血友病关节炎病变方面,MRI优于CT和传统X线检查,可作为血友病关节炎患者的首选影像学方法.
- [1]R, Soler,F, López-Fernández,E, Rodríguez,etc.Hemophilic arthropathy. A scoring system for magnetic resonance imaging.[J].2002,12.
- [2]R, Nuss,R F, Kilcoyne,S, Geraghty,etc.Utility of magnetic resonance imaging for management of hemophilic arthropathy in children.[J].1993,123(3).
- [3]W D, Arnold,M W, Hilgartner.Hemophilic arthropathy. Current concepts of pathogenesis and management.[J].1977,59.
- [4]Llauger Jaume,Palmer Jaume,Ros\u00f3n N\u00faria,etc.Nonseptic Monoarthritis: Imaging Features with Clinical and Histopathologic Correlation[J].2000.
- [5]S J, Swensen,P L, Keller,T H, Berquist,etc.Magnetic resonance imaging of hemorrhage.[J].1985,145.