髋关节痛风性关节炎34例临床分析

发布时间：2018-04-07 00:18

  本文选题：髋关节　切入点：关节炎　出处：《实用医学杂志》2017年22期

【摘要】：目的分析累及髋关节的痛风性关节炎的临床相关资料,提高对该疾病的认识和诊治能力。方法回顾性分析2014年1月至2017年3月在我院就诊的痛风性关节炎的病例,根据是否累及髋这个特殊部位分为髋关节组和常见关节组(髋关节不累及),其中髋关节组进一步根据病情分为急性组和慢性组,比较各组病例的基本临床资料。结果与常见关节组相比,髋关节组病例通常合并肥胖或既往患侧髋部外伤史,男性患者发病年龄轻,同时髋关节组病例全部为单侧髋部受累,局部无明显红肿热痛。CT及超声检查可为早期诊断提供辅助,必要时需手术或病理检查确诊。结论累及髋关节的痛风性关节炎临床上缺乏特异诊断标准,容易与髋部其他相关疾病混淆,在髋部疾病的临床诊断不明确时,应考虑髋关节痛风性关节炎的可能性。
[Abstract]:Objective to analyze the clinical data of gouty arthritis involving hip joint and improve the ability of diagnosis and treatment.Methods the cases of gouty arthritis in our hospital from January 2014 to March 2017 were analyzed retrospectively.The patients were divided into hip group and common joint group according to whether the hip was involved or not. The hip joint group was further divided into acute group and chronic group according to the condition. The basic clinical data of each group were compared.Results compared with the common joint group, the hip group was usually associated with obesity or previous history of hip trauma, and the male patients had a younger onset, while the hip group had unilateral hip involvement.No obvious redness, swelling and pain. Ct and ultrasound can provide assistance for early diagnosis. If necessary, the diagnosis should be confirmed by surgery or pathology.Conclusion the gouty arthritis involving hip joint lacks specific diagnostic criteria and is easily confused with other hip related diseases. The possibility of hip gouty arthritis should be considered when the clinical diagnosis of hip disease is not clear.
【作者单位】： 广州医科大学附属第三医院荔湾医院风湿科;
【分类号】：R589.7
，

本文编号：1719559