超声萤火虫技术在痛风性关节炎诊断中的应用

发布时间：2018-06-16 19:17

本文选题：超声 + 萤火虫　；参考：《中国超声医学杂志》2017年07期

【摘要】：目的探讨超声萤火虫成像技术对痛风性关节炎(GA)的诊断价值。方法痛风患者GA组62例,包括急性期24例和慢性期38例。无症状高尿酸血症患者AH组22例。对两组患者行二维超声和"萤火虫"技术检查,扫描部位为第一跖趾关节和膝关节。取内侧、外侧、正中三个切面,重复扫查三次,记录检测出的强回声数目的平均值。结果 (1)两组患者超声萤火虫技术检测出的微结晶数明显高于二维超声(P0.001);(2)GA组患者的微结晶数明显高于AH组(P0.001);(3)第一跖趾关节的微结晶多见于内侧和正中切面,膝关节的微结晶多见于内侧和外侧切面;且前者两种技术微结晶的检出率均高于后者;(4)两种技术在GA组急性期检测出的微结晶数目比慢性期增多(P0.05)。结论超声萤火虫技术对痛风性关节炎微结晶的灵敏度优于二维超声,对该病的诊断具有重要价值。
[Abstract]:Objective to evaluate the diagnostic value of ultrasonic firefly imaging in gouty arthritis (GA). Methods 62 patients with gout were included in GA group, including 24 cases in acute stage and 38 cases in chronic stage. There were 22 patients with asymptomatic hyperuricemia in AH group. The first metatarsophalangeal joint and knee joint were examined by two-dimensional ultrasound and firefly technique. The medial, lateral and median sections were taken and scanned three times, and the average number of strong echoes detected was recorded. Results (1) the number of microcrystals detected by ultrasonic firefly technique in both groups was significantly higher than that in group A (P 0.001 1) the number of microcrystals in the first metatarsophalangeal joint was higher in the first metatarsophalangeal joint than that in the group A (P 0.001). The detection rate of microcrystallization in both medial and lateral sections of the knee joint was higher than that in the latter. (2) the number of microcrystals detected in the acute phase of GA group was higher than that in the chronic phase (P 0.05). Conclusion the sensitivity of ultrasonic firefly technique for microcrystallization of gouty arthritis is better than that of two-dimensional ultrasound, which is of great value in the diagnosis of gouty arthritis.
【作者单位】：哈尔滨医科大学附属第二医院超声医学科;
【分类号】：R445.1;R589.7

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