高频超声对痛风性关节炎关节损害患者的诊断作用  

Diagnostic Value of High Frequency Ultrasound in Patients with Gouty Arthritis Joint Damage

作　　者：邓玉莲 钟逢逍 黄淑卿 DENG Yulian;ZHONG Fengxiao;HUANG Shuqing(Ultrasound Department, Wuyi Hospital of Traditional Chinese Medicine (Jiangmen, 529100))

机构地区：[1]江门市五邑中医院超声科,江门529100

出　　处：《生物医学工程学进展》2020年第4期228-230,共3页Progress in Biomedical Engineering

摘　　要：目的探讨高频超声在痛风性关节炎关节损害中的诊断价值。方法60例痛风性关节炎患者作为观察组,58例非痛风性关节炎患者作为对照组,比较与分析两组患者的高频超声特点。结果观察组患者的双轨征、暴风雪样征、痛风石等指标发生率均明显高于对照组,各项数据组间统计学差异显著(P<0.05);两组患者的滑膜增生、软组织水肿、关节腔积液、血流等指标比较统计学差异不显著(P>0.05)。观察组患者中,急性期痛风性关节炎患者的痛风石、肌腱内点及团状强回声指标阳性率小于慢性期患者,而血流发生率则高于慢性期患者,各数据组间统计学差异显著(P<0.05)。结论高频超声在痛风性关节炎的诊断中具有显著的临床应用价值。Objective To explore the diagnostic value of high frequency ultrasound in gouty arthritis joint damage.Methods 60 patients with gouty arthritis were treated as observation group,and 58 patients with non-gouty arthritis were treated as control group.The characteristics of high frequency ultrasound in two groups were compared and analyzed.Results Statistics showed that the incidence of double-track sign,snowstorm-like sign,gout stone and other indicators in the observation group was significantly higher than that in the control group,and there were significant differences between the data groups(P<0.05).There were no significant differences in synovial hyperplasia,soft tissue edema,joint effusion,blood flow and other indicators between the two groups(P>0.05).The positive rate of gout stone,tendon interior point and mass strong echo index in patients with arthritis was lower than that in patients with chronic stage,while the incidence of blood flow was higher than that in patients with chronic stage.There was significant difference among the data groups(P<0.05).Conclusion High frequency ultrasound has significant clinical value in the diagnosis of gouty arthritis.

关 键 词：痛风性关节炎 高频超声 非痛风性关节炎 急性期 慢性期 

分 类 号：R589.7[医药卫生—内分泌]