摘要
目的:探讨痛风性关节炎的X线特征。方法:回顾性分析28例确诊为痛风性关节炎患者的临床和X线资料。结果:痛风性关节炎多见于成年男性。常侵犯手、足小关节,其中以第1跖趾关节最为好发。早期X线常无阳性表现,中晚期可见典型X线表现:①位于关节边缘骨端的穿凿样骨质破坏;②)继发性退行性骨关节病;③软组织偏心性肿胀和痛风结节的形成。结论:痛风性关节炎的X线表现有一定的特征性,早期诊断须密切结合临床。
Objective:To discuss the X-ray features of gouty arthristis.Methods:To analyze the clinic and X-ray findings of 28 cases retrospectively which have been diagnose as gouty arthristis.Results:The gouty arthristis is mainly invade the small joint in hands and feet of adult man,especially the first metatarsophalageal joint.There is no positive X-ray findings in the prophase of the disease,but in the middle or advanced stage there is typical X-ray findings as follows: ① the chisel-liked bone destruction at epiphysis neighbouring joint;② secondum degenerative osteoarthropathy;③ eccentricity soft tissue swelling and the tuberculum arthriticum formation.Conclusion:The gouty arthritis has a certain special X-ray findings,and its early diagnosis must link to the clinic closely.
出处
《医学影像学杂志》
2011年第5期740-742,共3页
Journal of Medical Imaging
关键词
痛风
关节炎
X线诊断
Gouty
Arthritis
X-ray diagnosis
