[1]林 盈 杨华娟 许小玲 杨 煜 张 韬 王 颖.高频超声与双能量CT联合诊断早期痛风性关节炎的价值[J].福建医药杂志,2020,42(03):17-19.
　LIN Ying,YANG Huajuan,XU Xiaoling,et al.The value of high-frequency ultrasound combined with dual-energy CT in the diagnosis of early gouty arthritis[J].FUJIAN MEDICAL JOURNAL,2020,42(03):17-19.
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高频超声与双能量CT联合诊断早期痛风性关节炎的价值()
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《福建医药杂志》[ISSN:1002-2600/CN:35-1071/R]

卷:
42
期数:
2020年03期
页码:
17-19
栏目:
临床研究
出版日期:
2020-07-04

文章信息/Info

Title:
The value of high-frequency ultrasound combined with dual-energy CT in the diagnosis of early gouty arthritis
文章编号:
1002-2600(2020)03-0017-03
作者:
林 盈 杨华娟1 许小玲1 杨 煜1 张 韬2 王 颖1
福建省福州市第二医院超声科(福州 350007)
Author(s):
LIN Ying;  YANG Huajuan;  XU Xiaoling;  YANG Yu;  ZHANG Tao;  WANG Ying.
Department of Ultrasound, Fuzhou Municipal Second Hospital, Fuzhou, Fujian 350007, China
关键词:
痛风;  关节炎;  超声;  CT;  诊断
Keywords:
gout;  arthritis;  ultrasound;  CT;  diagnosis
分类号:
R445
文献标志码:
B
摘要:
目的 探讨高频超声与双能量CT单独诊断及联合诊断早期痛风性关节炎的价值。方法 分别对50例病程<3个月的痛风性关节炎患者行高频超声与双能量CT检查,分析高频超声诊断早期痛风性关节炎的声像图特征,比较二者的诊断效能,探讨联合诊断早期痛风性关节炎的价值。结果 高频超声对晶体沉积的检出率高于双能量CT(P<0.05)。早期痛风性关节炎晶体沉积的超声表现以点状高回声最常见,其发生率高于云雾状高回声和“双轨征”(P<0.05)。将高频超声与双能量CT二者联合应用诊断早期痛风性关节炎,优于任何单一检查(P<0.05)。结论 高频超声对早期痛风性关节炎诊断较双能量CT更为敏感,两种方法联合诊断可提高诊断效能。
Abstract:
Objective To explore the value of high-frequency ultrasound combined with dual-energy CT in the diagnosis of early gouty arthritis.Methods High-frequency ultrasound and dual-energy CT were performed on 50 patients with gouty arthritis whose course of disease were less than 3 months.The sonographic characteristics of high-frequency ultrasound in the diagnosis of early gouty arthritis were analyzed.The diagnostic efficiency of high-frequency ultrasound and dual-energy CT were compared, and the value of the two methods combined diagnosis of early gouty arthritis was discussed.Results The detection rate of high-frequency ultrasound was higher than that of dual-energy CT(P<0.05).In the early stage of gouty arthritis, the most common ultrasonic manifestations of crystal deposition were pointhigh-echo, which was more than cloud high-echo and “double track sign”(P<0.05).The combination of high-frequency ultrasound and dual-energy CT was superior to any single examination in the diagnosis of early gouty arthritis(P<0.05).Conclusion High-frequency ultrasound is more sensitive than dual-energy CT in the diagnosis of early gouty arthritis.The combination of two diagnostic techniques can improve the diagnosis efficiency.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目:福州市卫生计生科技计划项目(2018-S-wq19); 2017年福建省临床重点专科建设项目(骨科)1 风湿免疫科; 2 骨科研究所
更新日期/Last Update: 2020-07-04