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目的探讨X线在早期类风湿性关节炎中的诊断价值。方法对31例早期类风湿性关节炎的临床、实验室表现和软组织、关节及骨质改变的X线特征进行回顾分析。结果本组31例患者中,手小关节病变26例(83.87%),足小关节病变5例(16.13%)。发生骨质疏松22例,占70.97%;关节边缘骨质破坏11例,占35.48%;关节软骨下小囊变16例,占51.61%;关节间隙狭窄21例,占67.74%。结论X线能反映类风湿性关节炎早期病理变化。为临床早期诊断、治疗提供依据,并可辅助临床选择适当的治疗方法。
Objective To investigate the diagnostic value of X-ray in early rheumatoid arthritis. Methods The clinical and laboratory features of 31 patients with early rheumatoid arthritis and the X-ray features of soft tissue, joint and bone changes were retrospectively analyzed. Results Among the 31 patients in this study, 26 cases (83.87%) had hand-joint disease and 5 (16.13%) had foot-facet joint disease. Osteoporosis occurred in 22 cases, accounting for 70.97%; 11 cases of joint edge bone destruction, accounting for 35.48%; articular subchondral changes in 16 cases, accounting for 51.61%; joint space stenosis in 21 cases, accounting for 67.74%. Conclusion X-ray can reflect the early pathological changes of rheumatoid arthritis. Provide the basis for early clinical diagnosis and treatment, and may assist the clinical choice of appropriate treatment.