双能CT在诊断痛风心血管损害中的应用价值

Application value of dual-energy CT in diagnosis of gout cardiovascular damage

痛风是由尿酸钠结晶沉积在关节或其他组织中引起的一种常见的疾病,其发病率和患病率呈逐年上升趋势,高尿酸血症是发展为痛风最重要的危险因素。近年来许多流行病学和实验研究均证实痛风与高血压、冠心病和心肌梗死等心血管疾病的发生和死亡密切相关。而双能CT作为一种新型的无创性影像学检查手段,可以特异性并定量显示尿酸盐结晶,近年来已成为诊断痛风的一个有效工具,有研究发现其在痛风心血管损害的诊断中也有着很好的临床价值。该综述分析痛风与心血管疾病之间复杂的相关性,以及双能CT在诊断痛风心血管损害中的优势和应用价值。

Gout is a common disease caused by the deposition of sodium urate crystals in joints or other tissues,and its incidence and prevalence are increasing year by year.Hyperuricemia is the most important risk factor for gout.In recent years,many epidemiological and empirical studies have confirmed that gout is closely related to the occurrence and death of cardiovascular diseases such as hypertension,coronary heart disease and myocardial infarction.Dual-energy CT,as a new non-invasive imaging modality,can specifically and quantitatively display urate crystals,and has become an effective tool for the diagnosis of gout in recent years,and some studies have found its clinical value in the diagnosis of cardiovascular damage in gout.This review analyzes the complex correlation between gout and cardiovascular diseases,and the advantages and application value of dual-energy CT in the diagnosis of cardiovascular damage in gout.