关节超声与双源CT对痛风性关节炎诊断效能的影像学比较  

Comparison of Imaging Findings and Effects between Joint Ultrasound and Dual-energy CT in the Diagnosis of Gouty Arthritis

作　　者：禤璇[1] 韦翠美 许赤多[1] 赵玲[1] 黄嘉明 王梅英 XUAN Xuan;WEI Cui-mei;XU Chi-duo;ZHAO Ling;HUANG Jia-ming;WANG Mei-ying(The Second Hospital of Shenzhen,The First Affiliated Hospital of Shenzhen University,Guangdong Guangzhou 518035)

机构地区：[1]深圳市第二人民医院,深圳大学第一附属医院,广东深圳518035

出　　处：《深圳中西医结合杂志》2021年第13期91-93,共3页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:探讨使用超声技术与双源计算机断层扫描(CT)技术诊断痛风性关节炎的表现及效果。方法:回顾性分析2017年12月至2019年8月深圳大学第一附属医院收治的31例痛风性关节炎患者作为研究对象对患者分别使用超声技术与双源CT技术诊断痛风性关节炎。然后分析这些患者使用不同的影像学技术诊断痛风性关节炎的准确率,并分析患者的关节超声技术与双源CT技术的影像学表现,比较两种方法表现的不同之处。结果:(1)受试者操作特征曲线(ROC)提示,血清尿酸在双源CT确诊痛风性关节炎时,其曲线下面积(AUC)及特异度均较超声技术高;(2)在痛风石方面,双源CT检出率较超声技术高,差异具有统计学意义(P<0.05),而在炎症积液及滑膜增厚方面,超声技术检出率均较双源CT检出率高,差异均具有统计学意义(P<0.001),在软组织水肿方面,两种方法的检出率比较,差异无统计学意义(P>0.05)。结论:与超声相比,双源CT诊断痛风性关节炎的准确率较高。Objective To explore the use of ultrasound technology and dual-source computed tomography(CT)technology to diagnose the performance and effect of gouty arthritis.Methods A retrospective analysis of 31 patients with gouty arthritis admitted to the First Affiliated Hospital of Shenzhen University from December 2017 to August 2019 was used as the research object.The patients were diagnosed with gouty arthritis using ultrasound technology and dual-source CT technology respectively.Then analyze the accuracy of these patients using different imaging techniques to diagnose their gouty arthritis,and analyze the imaging performance of the patient's joint ultrasound technology and dual-source CT technology,and compare the differences between the two imaging performances.Results In tophi,the detection rate of dual-source CT is higher than that of ultrasound technology,and the difference is statistically significant(P<0.05).In terms of inflammatory effusion and synovial thickening,the detection rate of ultrasound technology was higher than that of dual-source CT,and the difference was statistically significant(P<0.001).In terms of soft tissue edema,there was no statistically significant difference in the detection rate of the two methods(P>0.05).Conclusion Compared with ultrasound,dual-source CT is more accurate in diagnosing gouty arthritis.

关 键 词：痛风性关节炎 关节超声 双源计算机断层扫描 

分 类 号：R593.22[医药卫生—内科学]