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双源CT双能量扫描在足踝部痛风首次发作中的诊断价值 被引量:2

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摘要 目的评价双源CT(DSCT)双能量扫描在足踝部痛风首次发作中的诊断价值。方法回顾性分析首次双足踝关节疼痛就诊最后临床确诊为痛风的双足踝部DSCT资料40例,并选取25例非痛风的足踝部急性关节炎作对照。结果 40例患者中36例DSCT发现尿酸盐结晶共127处,其中位于足踝部关节附近29例共95处,深部肌腱或韧带周围14例共32处。血尿酸增高34例,发现有尿酸盐结晶30例;6例血尿酸正常者中有4例发现有尿酸盐结晶。结论 DSCT可以直观、无创地显示首次发作的足踝部痛风尿酸盐结晶,具有较高的临床诊断价值。
出处 《浙江创伤外科》 2016年第6期1193-1195,共3页 Zhejiang Journal of Traumatic Surgery
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