痛风结石性关节炎累及脊柱附件99Tc^m-MDP SPECT/CT显像一例  

99Tcm-MDP SPECT/CT in gout arthritis involved spine:a case report

作　　者：陈则君[1] 方剑锋[2] 王东[1] 孟宪平[3] 费锋[3] Chen Zejun;Fang Jianfeng;Wang Dong;Meng Xianping;Fei Feng(Department of Nuclear Medicine,Affiliated Jiangyin Hospital of Southeast University Medical College,Jiangyin 214400,China;Department of Orthopedics,Affiliated Jiangyin Hospital of Southeast University Medical College,Jiangyin 214400,China;Department of Radiology,Affiliated Jiangyin Hospital of Southeast University Medical College,Jiangyin 214400,China)

机构地区：[1]东南大学医学院附属江阴医院核医学科,214400 [2]东南大学医学院附属江阴医院骨科,214400 [3]东南大学医学院附属江阴医院放射科,214400

出　　处：《中华核医学与分子影像杂志》2019年第1期35-36,共2页Chinese Journal of Nuclear Medicine and Molecular Imaging

摘　　要：患者男,68岁,因胸腹部及双下肢麻木伴行走无力1个月入院。既往有痛风、高血压10年余,有双膝痛风性关节炎关节镜手术史;痛风每年急性发作1~3次,血尿酸538.0~666.9(208.0~428.0;括号内为正常参考值,下同)μmol/L。体格检查:双手、双足多发指(趾)间关节痛风样肿块,双上肢肌力Ⅵ级,皮肤感觉轻度减退,双侧乳头平面以下皮肤感觉、痛觉明显减退,双下肢肌张力高,肌力Ⅱ级,膝跟腱反射亢进,Babinski征(+)。

关 键 词：痛风性关节炎 99TCM-MDP SPECT CT显像 双下肢麻木 附件 脊柱 结石 

分 类 号：R589.7[医药卫生—内分泌] R817.4[医药卫生—内科学]