摘要
目的:探究痛风性关节炎的超声影像特征及其临床应用。方法:收集2022年1月~2023年1月本院收治的65例痛风性关节炎患者作为观察组,与同期选取的65例非痛风性关节炎患者(对照组)进行对照。对比两组患者的超声影像结果。结果:观察组关节病变数为75个,对照组关节病变数为76个,两组差异在统计学上无显著意义(P>0.05)。观察组中,跖趾关节29个(38.66%)、踝关节24个(32.0%)以及膝关节15个(20%)是痛风性关节炎最常见的发病部位。与对照组相比,痛风性关节炎患者更容易出现关节内针尖样强回声、双轨征、肌腱内高回声和痛风石等超声影像特征(P<0.05)。结论:超声影像特征可辅助医师进行痛风性关节炎的诊断,具有较高的特异性和阳性预测值。
Objective:To explore the ultrasound imaging characteristics and clinical application of gouty arthritis.Methods:Collected 65 patients with gouty arthritis admitted to our hospital from January 2022 to January 2023 as the observation group,and compared them with 65 non gouty arthritis patients selected during the same period as the control group.Compare the ultrasound imaging results of two groups of patients.Results:The number of joint lesions in the observation group was 75,while the number of joint lesions in the control group was 76.The difference between the two groups was not statistically significant(P>0.05).In the observation group,29 metatarsophalangeal joints(38.66%),24 ankle joints(32.0%),and 15 knee joints(20%)were the most common sites of gouty arthritis.Compared with the control group,patients with gouty arthritis are more likely to exhibit ultrasound imaging features such as needle like hyperechogenicity,double track sign,tendon hyperechogenicity,and gout stones in the joint(P<0.05).Conclusion:The ultrasound imaging features can assist physicians in the diagnosis of gouty arthritis,with high specificity and positive predictive value.
作者
高玉树
徐琳琳
GAO Yu-shu;XU Lin-lin(Ultrasound Department,Yancheng Third People’s Hospital,Jiangsu Yancheng 224001)
出处
《中国医疗器械信息》
2024年第4期114-116,共3页
China Medical Device Information
关键词
痛风性关节炎
超声
影像特征
临床应用
gouty arthritis
ultrasound
image features
clinical application
