Macfarlane D G, Buckland-Wright J C, Lynch J, Fogelman I
Division of Anatomy, United Medical School, Guy's Hospital, London.
Br J Rheumatol. 1993 Nov;32(11):977-81. doi: 10.1093/rheumatology/32.11.977.
Thirty-five patients with OA of the hands had an early and late phase isotope bone scan performed at entry and 1 yr later. Simultaneous assessment of symptoms was made by a visual analogue pain score (VAS) and a tender joint articular index (AI) and comparisons were made between the clinical and scintigraphic findings. Sixty-five percent of joints were classed as positive in the late phase compared to 17% in the early phase scan. Thirteen per cent of joints were positive only in the early phase and 49% only in the late phase. There was no significant overall change in either phase of the scan in 1 yr. The pattern of positive joints showed considerable symmetry and wrist involvement. There was a high degree of correlation between AI and the late phase scan but none with the early phase scan. VAS showed no correlation with the late phase scan but did correlate significantly with the early phase scan at 1 yr.
35例手部骨关节炎患者在入组时及1年后分别进行了早期和晚期同位素骨扫描。通过视觉模拟疼痛评分（VAS）和压痛关节关节指数（AI）对症状进行同步评估，并对临床和骨扫描结果进行比较。晚期扫描中65%的关节被归类为阳性，而早期扫描中这一比例为17%。13%的关节仅在早期扫描中呈阳性，49%仅在晚期扫描中呈阳性。1年内扫描的任何一个阶段均无显著的总体变化。阳性关节的模式显示出相当程度的对称性和腕关节受累。AI与晚期扫描高度相关，但与早期扫描无相关性。VAS与晚期扫描无相关性，但与1年后的早期扫描显著相关。
