彩色多普勒超声在筛查痛风性关节炎中的临床意义研究
|
摘要
目的探讨彩色多普勒超声在筛查痛风性关节炎中的临床意义。方法选取50例痛风性关节炎患者作为试验组,另选取同期50例其他关节炎(类风湿性关节炎16例,骨性关节炎17例,银屑病关节炎17例)患者作为对照组。两组患者均使用彩色多普勒超声对双侧第一跖趾关节进行检查,观察比较两组患者关节积液、滑膜增厚、多点状高回声、双轨征、痛风石检查效果。结果试验组患者共检查100个跖趾关节,关节积液92个(92.00%),滑膜增厚87个(87.00%),多点状高回声71个(71.00%),双轨征61个(61.00%),痛风石75个(75.00%);对照组患者共检查100个跖趾关节,关节积液93个(93.00%),滑膜增厚90个(90.00%),多点状高回声0个,双轨征0个,痛风石0个。两组患者关节积液、滑膜增厚个数比较,差异无统计学意义(P>0.05),试验组患者多点状高回声、双轨征、痛风石个数多于对照组,差异均有统计学意义(P<0.05)。结论应用彩色多普勒超声对痛风性关节炎进行筛查和鉴别,值得临床推广。
Objective To discuss the clinical significance of color Doppler ultrasound in screening for gouty arthritis. Methods There were 50 patients with gouty arthritis as experimental group, and another 50 cases with other arthritis(16 cases of rheumatoid arthritis, 17 cases of osteoarthritis, 17 cases of psoriatic arthritis) in the same period as control group. The first metatarsophalangeal joint was examined by color Doppler ultrasound in both groups. Observation and comparison were made on joint effusion, synovial membrane thickening, multi-point hyperechoic, double track sign, gout stone examination effect of two groups. Results In the experimental group, 100 metatarsophalangeal joints were examined, including 92 joints(92.00%) of joint effusion, 87 joints(87.00%) of synovial membrane thickening, 71 joints(71.00%) of multi-point hyperechoic, 61 joints(61.00%) of double track sign and 75 joints(75.00%) of gout stone. In the control group, 100 metatarsophalangeal joints were examined, including 93 joints(93.00%) of joint effusion, 90 joints(90.00%) of synovial membrane thickening, 0 joint of multi-point hyperechoic, 0 joint of double track sign and 0 joint of gout stone. Both groups had no statistically significant difference in cases of joint effusion and synovial membrane thickening(P>0.05). The experimental group had more joints of multi-point hyperechoic, double track sign, gout stone than the control group, and their difference was statistically significant(P<0.05). Conclusion The application of color Doppler ultrasound in the screening and identification of gouty arthritis is worthy of clinical promotion.
Objective To discuss the clinical significance of color Doppler ultrasound in screening for gouty arthritis. Methods There were 50 patients with gouty arthritis as experimental group, and another 50 cases with other arthritis(16 cases of rheumatoid arthritis, 17 cases of osteoarthritis, 17 cases of psoriatic arthritis) in the same period as control group. The first metatarsophalangeal joint was examined by color Doppler ultrasound in both groups. Observation and comparison were made on joint effusion, synovial membrane thickening, multi-point hyperechoic, double track sign, gout stone examination effect of two groups. Results In the experimental group, 100 metatarsophalangeal joints were examined, including 92 joints(92.00%) of joint effusion, 87 joints(87.00%) of synovial membrane thickening, 71 joints(71.00%) of multi-point hyperechoic, 61 joints(61.00%) of double track sign and 75 joints(75.00%) of gout stone. In the control group, 100 metatarsophalangeal joints were examined, including 93 joints(93.00%) of joint effusion, 90 joints(90.00%) of synovial membrane thickening, 0 joint of multi-point hyperechoic, 0 joint of double track sign and 0 joint of gout stone. Both groups had no statistically significant difference in cases of joint effusion and synovial membrane thickening(P>0.05). The experimental group had more joints of multi-point hyperechoic, double track sign, gout stone than the control group, and their difference was statistically significant(P<0.05). Conclusion The application of color Doppler ultrasound in the screening and identification of gouty arthritis is worthy of clinical promotion.
引文
[1]黄荣姬,张前茜,蔡小青,等.高频超声在无症状高尿酸血症患者关节病变诊断中的应用.深圳中西医结合杂志, 2018,28(3):67-69.
[2]袁玉玲,潘宇.彩色多普勒超声在筛查痛风性关节炎中的应用价值分析.中国中医骨伤科杂志, 2018, 26(6):31-33, 37.
[3]陈瑛,许菡菡,万颖.高频超声对青少年高尿酸血症患者关节改变诊断价值的研究.中国疗养医学, 2017, 26(5):503-504.
[4]张前茜,卢苇,梁瑞钿,等.痛风性关节炎患者临床超声影像学诊断的实效性.广州医科大学学报, 2014, 42(5):43-45.
[5]黄悦.超声辅助检查在类风湿关节炎中的应用.中国现代药物应用, 2016, 10(21):194-195.
[6]陈剑,丁云川,尹帆,等.超声诊断类风湿性关节炎相关病变的临床观察.昆明医科大学学报, 2010, 31(12):57-59.
[7]周凌,陈凌,宋婧,等.关节超声评分在类风湿性关节炎评价中的应用价值研究.中华航海医学与高气压医学杂志, 2016,23(2):125-129.
[8]潘哲.风湿性心脏病彩色多普勒超声诊断在临床教学上的应用.中国卫生产业, 2017(32):49-50.
[2]袁玉玲,潘宇.彩色多普勒超声在筛查痛风性关节炎中的应用价值分析.中国中医骨伤科杂志, 2018, 26(6):31-33, 37.
[3]陈瑛,许菡菡,万颖.高频超声对青少年高尿酸血症患者关节改变诊断价值的研究.中国疗养医学, 2017, 26(5):503-504.
[4]张前茜,卢苇,梁瑞钿,等.痛风性关节炎患者临床超声影像学诊断的实效性.广州医科大学学报, 2014, 42(5):43-45.
[5]黄悦.超声辅助检查在类风湿关节炎中的应用.中国现代药物应用, 2016, 10(21):194-195.
[6]陈剑,丁云川,尹帆,等.超声诊断类风湿性关节炎相关病变的临床观察.昆明医科大学学报, 2010, 31(12):57-59.
[7]周凌,陈凌,宋婧,等.关节超声评分在类风湿性关节炎评价中的应用价值研究.中华航海医学与高气压医学杂志, 2016,23(2):125-129.
[8]潘哲.风湿性心脏病彩色多普勒超声诊断在临床教学上的应用.中国卫生产业, 2017(32):49-50.