双源CT双能量成像诊断痛风结节沉积的价值分析

发布时间：2018-05-27 18:47

本文选题：痛风 + 尿酸　；参考：《重庆医学》2017年04期

【摘要】：目的评估双源CT双能量成像在诊断痛风结节沉积的临床价值。方法选取该院2012年12月至2015年12月收治的痛风患者65例,另选同期收治的65例非痛风患者(类风湿性关节炎、退行性骨性关节炎及不明原因下肢疼痛)作为对照组,双源CT双能量扫描两组患者的疼痛部位,比较两组患者的尿酸盐沉积差异。挑选3名有经验的临床医生,在不了解影像学结果的情况下通过问病史和体格检查对痛风组患者尿酸盐沉积状况(痛风结节)进行评估,比较临床评估与双源CT双能量成像结果的差异。结果双源CT双能量成像显示对照组无痛风结节沉积,痛风组患者在腕关节、膝关节及足踝关节检测出痛风结节沉积的比例分别为96.06%(33/34),100.00%(22/22)和96.49%(55/57)。65例患者经双源CT双能量成像共检测出痛风结节沉积部位545处,是医生临床评估(125处)认定的4.36倍。结论双源CT双能量成像诊断痛风结节沉积无创简便,准确率高,漏诊率低,应作为临床筛查痛风病的重要检查方法。
[Abstract]:Objective to evaluate the clinical value of dual source CT dual energy imaging in the diagnosis of gout nodule deposition. Methods 65 patients with gout admitted from December 2012 to December 2015 were selected and 65 cases of non gout (rheumatoid arthritis, degenerative osteoarthritis and unexplained lower extremity pain) treated in the same period were selected as the control group, and dual source CT dual energy was used. The pain sites of the two groups were measured and the differences in the uric acid salt deposition in the two groups were compared. 3 experienced clinicians were selected to evaluate the urate deposition (gout) in the gout group (gouty nodules) by asking the medical history and physical examination without understanding the imaging results. The clinical evaluation and dual source CT dual energy imaging junction were compared. Results the double source CT dual energy imaging showed no gout nodule deposition in the control group. The ratio of gout nodules in the wrist joint, knee and ankle joints was 96.06% (33/34), 100% (22/22) and 96.49% (55/57).65 patients were detected by double source CT dual energy imaging to detect the gout nodule deposition site in gout patients. Conclusion the double source CT dual energy imaging in the diagnosis of gouty nodules is not invasive, accurate, and the rate of missed diagnosis is low. It should be used as an important method for clinical screening of gout.
【作者单位】：河南省安阳市人民医院内分泌科;河南省安阳市人民医院放射科;
【分类号】：R589.7;;R816.6

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