单纯性痛风性关节炎与伴慢性肾病痛风性关节炎超声的比较研究

A Comparative Study of Ultrasonography in Gouty Arthritis with Chronic Nephropathy and Simple Gouty Arthritis

目的 对单纯性痛风性关节炎(GA)和伴慢性肾病痛风性关节炎(GCKD)的关节超声声像特征进行比较。方法 回顾性收集北票市中心医院2016-2019年收治的痛风患者165例,剔除24例不符合条件病例后,依据患者是否存在肾脏损害分为GA组82例和GCKD组59例。采用超声扫查两组患者的膝关节、踝关节和第一跖趾关节(以下简称跖趾关节),记录痛风石的数量、分布及其超声声像特征。结果 两组患者痛风石累积关节部位分布差异有统计学意义( P<0.05);而痛风石累积关节数量分布差异无统计学意义( P>0.05)。两组患者痛风石形态和声像特征差异均无统计学意义(P>0.05)。结论 GCKD患者更容易形成多发性痛风石并具有多关节受累趋势,超声检查其关节痛风石是一种较为便捷的手段。

Objective To compare the ultrasonographic features of simple gouty arthritis (GA) and gouty arthritis (GCKD) with chronic nephropathy. Methods A total of 165 gout patients admitted to our hospital from 2016 to 2019 were retrospectively collected. After 24 cases of unqualified cases were excluded, 82 cases were divided into GA group and 59 cases into GCKD group according to the presence of renal damage. The knee joint, ankle joint and the first metatarsophalangeal joint (hereinafter referred to as metatarsophalangeal joint) of the two groups were scanned by ultrasonography. The number, distribution and ultrasonographic characteristics of gout stones were recorded. Results There was significant difference in the distribution of gout stone cumulative joints between the two groups (P<0.05), but there was no significant difference in the number of the gout stone accumulated joints site between the two groups (P>0.05). There were no significant differences in morphological and sonographic features of gouty stones between the two groups (P>0.05). Conclusion GCKD patients are more likely to form multiple gout stones and have the tendency of multiple joint involvement. Ultrasound examination of joint gout stones is a more convenient means.