痛风性关节炎患者临床超声影像学诊断的实效性

Efficiency of clinical ultrasound imaging in gouty arthritis

目的:探究痛风性关节炎患者在临床超声影像学中诊断的实效性。方法:研究本院确定患有痛风性关节炎的44例,且原来有痛风性关节炎复发经历的64个受到影响的关节通过超声影像来表现。结果:最终64个受累关节通过超声表现的结果为:关节积液60个(60/64,93.75%),滑膜增生32个(32/64,50.00%),骨侵蚀20个(20/64,31.25%),关节软骨"双边征"50个(50/64,78.13%),关节液内"暴雪样"回声20个(20/64,31.25%),关节内点状强回声16个(16/64,25.00%),关节内片状强回声团伴声影30个(30/64,46.88%),关节旁肌腱周围强回声16个(16/64,25.00%),关节周围滑囊积液8个(8/64,12.50%)。同时2个或者2个以上关节受累的人数与其他各个受累关节的人数上,男性患者普遍要比女性患者多一些。结论:在临床超声影像学里,痛风性关节炎有着不同种类的表现特征,而且其中一些超声影像学有差异性。痛风性关节炎患者临床超声影像学诊断具有实效性。

Objective：To investigate the efficiency of clinical ultrasound imaging in patients with gouty arthritis.Methods：Forty-four patients with confirmed gouty arthritis in our hospital were included in the study. From them,64 joints with experience of gouty arthritis relapse were studied by ultrasound imaging. Results：The results of the 64 affected joints examined by ultrasound：60 cases of joint effusion （ 60/64, 93. 75%） , 32 of synovial hyperplasia （32/64,50.00%）,20 of bone erosion （20/64,31.25%）,50 of ＆quot;bilateral syndrome＆quot; in the articular cartilage （50/64,78.13%）,20 of ＆quot;blizzard-like＆quot; echoes in the joint fluid （20/64,31.25%）,16 of dotty hyperecho in the joint （16/64,25.00%）,30 of hyperechoic patches with acoustic shadow in the joint （30/64,46.88%）,16 of juxta articular hyperecho surrounding the tendon （16/64,25.00%）,and 8 of synovial effusion around the joint （ 8/64, 12. 50%） . There were more males than females among patients with 2 or more joints affected,or with lesion of individual joints. Conclusion：In clinical ultrasound imaging,gouty arthritis may present variable features.Clinical ultrasound imaging is efficient in the diagnosis for patients with gouty arthritis.