影像学技术在痛风关节炎中应用的中国专家共识(2025版)  

Chinese expert consensus on the application of imaging modalities in gouty arthritis(2025)

作　　者：中国医师协会风湿免疫科医师分会影像学组 海峡两岸医药卫生交流协会风湿免疫病学专业委员会影像学组 黄慈波 曾小峰[3] 张卓莉[4] Imaging Group,the Rheumatology and Immunology Specialist Branch of the Chinese Medical Association;Imaging Group,the Rheumatology and Immunology Specialist Branch of the Cross-Straits Medicine Exchange Association;Huang Cibo;Zeng Xiaofeng;Zhang Zhuoli(不详;Department of Rheumatology and Clinical Immunology,South China Hospital of Shenzhen University,Shenzhen 518111,China;Department of Rheumatology and Clinical Immunology,Chinese Academy of Medical Sciences,Peking Union Medical College Hospital,Beijing 100730,China;Department of Rheumatology and Clinical Immunology,Peking University First Hospital,Beijing 100034,China)

机构地区：[1]不详 [2]深圳大学附属华南医院风湿免疫科,深圳518111 [3]中国医学科学院北京协和医院风湿免疫科,北京100730 [4]北京大学第一医院风湿免疫科,北京100034

出　　处：《中华风湿病学杂志》2025年第1期1-7,共7页Chinese Journal of Rheumatology

基　　金：北京市卫生健康科技成果和适宜技术立项项目(BHTPP2022005)。

摘　　要：痛风是嘌呤代谢紊乱及(或)尿酸排泄减少所引起的一种晶体性关节炎,发病率呈快速增长趋势。影像学技术(特别是超声和磁共振检查),是痛风关节炎诊断和治疗过程中重要的辅助工具。本共识由中国医师协会风湿免疫科医师分会影像学组联合海峡两岸医药卫生交流协会风湿免疫病学专业委员会影像学组,共同制定了第一部影像学技术在痛风关节炎中应用的中国专家共识。本共识依据国内外循证证据,结合我国国情,提出了具体的建议,包括痛风关节炎在超声和磁共振等影像学技术中的表现,影像学技术在不同临床情境下的选择原则,影像学技术在评估疾病活动度和指导达标治疗过程中发挥的作用,旨在指导影像学技术在该领域的合理、规范使用。Gouty arthritis is a type of crystal arthritis caused by purine metabolism disorder and/or decreased uric acid excretion,with an increasing incidence.Imaging techniques,especially ultrasound and magnetic resonance imaging(MRI),are important assistants in the diagnosis and treatment of gouty arthritis.This consensus was jointly formulated by the Imaging Group of the Rheumatology and Immunology Specialist Branch of the Chinese Medical Doctor Association and the Imaging Group of the Rheumatology and Immunology Special Committee of the Cross-Strait Medicine Exchange Association,which is the first Chinese expert consensus on the application of imaging techniques in gouty arthritis.Combined evidence abroad with China's national conditions,this consensus puts forward specific suggestions,including various manifestations of gouty arthritis in different imaging techniques including ultrasound and MRI,the selection principles of imaging techniques in different clinical situations,and the role that imaging techniques play in evaluating disease activity and achieving treat-to-target strategy,which aims to guide the rational and standardized use of imaging techniques in this field.

关 键 词：影像 痛风关节炎 共识 

分 类 号：R445[医药卫生—影像医学与核医学] R589.7[医药卫生—诊断学]