影像学检查方法在痛风性关节炎中的研究进展  

Progress of imaging diagnosis of gouty arthritis

作　　者：刘巧楠 丁韦仁 刘林[3] 彭旭红[3] 于风辉 彭翔[1] Liu Qiaonan;Ding Weiren;Liu Lin;Peng Xuhong;Yu Fenghui;Peng Xiang(Department of Rheumatology,the Sixth Affiliated Hospital of Guangzhou Medical University,Qingyuan 511518,China;Basic Laboratory,the Sixth Affiliated Hospital of Guangzhou Medical University,Qingyuan 511518,China;Department of Medical Imaging,the Sixth Affiliated Hospital of Guangzhou Medical University,Qingyuan 511518,China;Section of Ultrasonography,the Sixth Affiliated Hospital of Guangzhou Medical University,Qingyuan 511518,China)

机构地区：[1]广州医科大学附属第六医院风湿科,广东清远511518 [2]广州医科大学附属第六医院基础实验室,广东清远511518 [3]广州医科大学附属第六医院影像科,广东清远511518 [4]广州医科大学附属第六医院超声科,广东清远511518

出　　处：《中华全科医师杂志》2019年第11期1102-1105,共4页Chinese Journal of General Practitioners

摘　　要：代谢性风湿病痛风发病率日益升高,呈年轻化、不典型化趋势.典型的痛风容易诊断,但不典型者则存在一定诊断难度.偏振光显微镜找关节液尿酸结晶是诊断金指标,但属于侵入性诊断方法,难以普及开展,需要影像学检查协助诊断并指导后续治疗.本文围绕与痛风性关节炎相关的不同影像学检查方法,对各方法的优缺点及典型特征进行综述.The incidence of metabolic rheumatism gout has been increasing with a trend of more younger patients and atypical symptoms.Typical gout is easy to be diagnosed,but it is difficult for atypical cases.Finding uric acid crystal in articular fluid by polarizing light microscope is a gold standard of diagnosis,but it is an invasive diagnostic method and difficult to be widely used.The patients need further imaging examination for assistance of diagnosis and guide of follow-up treatment.This article reviews the research progress of different imaging methods used for diagnosis of gouty arthritis.

关 键 词：关节炎 痛风性 超声检查 体层摄像术 X线计算机 磁共振成像 

分 类 号：R58[医药卫生—内分泌]