摘要
目的回顾性研究48例痛风性关节炎(Gouty Arthritis,GA)患者的临床资料及超声诊断结果,为临床诊断提供依据。方法选取2015年9月—2017年9月临床确诊的48例GA患者(89个关节)为GA组,同期选取临床排除GA患者15例(26个关节)为对照组,两组均进行超声检查,并对超声表现进行临床分析。结果 GA组在骨质侵蚀、双轨征、痛风石指标方面与对照组比较,差异有统计学意义(P<0.05);GA组在关节滑膜增生、滑膜炎、关节腔内积液、暴风雪特征、骨质增生、腱鞘炎指标方面与对照组比较,差异无统计学意义(P>0.05)。结论超声影像显示暴风雪特征、双轨征及痛风石,对GA临床诊断与鉴别提供了丰富的影像学依据。
Objective To retrospectively study the clinical data and ultrasound results of 48 patients with Gouty arthritis(GA)to provide a basis for clinical diagnosis.Methods 48 cases diagnosed with GA(89 joints)from September,2015 to September,2017 were made up as GA group,meanwhile 15 cases(26 joints)without GA as control group,both of which received ultrasonic examination.Their ultrasound features were clinically analyzed.Results Compared with the control group,bone erosion,double track sign and tophus index in the GA group were statistically significant(P<0.05).The GA group showed no statistical significance in joint synovial hyperplasia,synovitis,joint effusion,snow-storm,bone hyperplasia and tenosynovitis indicators(P>0.05).Conclusion Ultrasound imaging can present the snow-storm-like imaging,double track sign and tophi in the patients,which providing rich imaging bases for the clinical diagnosis and identification of GA.
作者
叶德福
林惠芳
张英根
李祝有
卢施雅
YE Defu;LIN Huifang;ZHANG Yinggen;LI Zhuyou;LU Shiya(Dongguan Hengli Hospital,Dongguan 523460,China)
出处
《现代医院》
2018年第3期444-446,共3页
Modern Hospitals
基金
东莞市社会科技发展项目(201750715038196)
