患者，女，47岁。腕关节肿痛 3个月，掌指关节肿痛6周，伴晨僵。下列哪项检查对确定诊断意义最大

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SQL Error: select id,body,options from ***_enewstiku where sourceid='26109' and id < 2188617 and id<>'2188617' order by id desc limit 5 SQL Error: select id,body,options from ***_enewstiku where sourceid='26109' and id > 2188617 and id<>'2188617' order by id asc limit 5