Baunin C, Railhac J J, Younes I, Gaubert J, du Boullay C, Dirat G, Robert A
Service de Radio-Pédiatrie, Hôpital Purpan, Toulouse, France.
Eur J Pediatr Surg. 1991 Dec;1(6):358-63. doi: 10.1055/s-2008-1042520.
20 children with hemophilia were examined with Magnetic Resonance Imaging (MRI) to determine if MRI could be used to assess hemophilic arthropathy, especially in the early stages. 28 joints of the appendicular skeleton were imaged, including 17 knees, 10 ankles and 1 elbow. The results were compared to clinical and plain radiographic assessments and to the surgical findings when synovectomy was performed. MRI is able to evaluate the components of hemophilic arthropathy such as fluid effussion, synovial hypertrophy, the status of the articular cartilage, and bony lesions. These lesions can be discovered at an early stage when plain radiographs are still normal. MRI seems to be useful for the selection of patients needing early treatment of hemophilic arthropathy and in monitoring response to therapy.
对20名血友病患儿进行了磁共振成像（MRI）检查，以确定MRI是否可用于评估血友病性关节病，尤其是在疾病早期。对四肢骨骼的28个关节进行了成像，包括17个膝关节、10个踝关节和1个肘关节。将结果与临床和X线平片评估结果以及滑膜切除术时的手术发现进行了比较。MRI能够评估血友病性关节病的组成部分，如积液、滑膜增生、关节软骨状况和骨病变。当X线平片仍正常时，这些病变在早期即可被发现。MRI似乎有助于选择需要早期治疗血友病性关节病的患者，并监测治疗反应。
