痛风性关节炎的影像学诊断与分析

发布时间：2018-01-14 17:15

本文关键词：痛风性关节炎的影像学诊断与分析　出处：《世界最新医学信息文摘》2016年93期 　论文类型：期刊论文

【摘要】：目的:探讨痛风性关节炎的影像学表现,以期为痛风性关节炎的早期诊断以及早期治疗提供一定的依据。方法:选取2014年10月至2015年10月来我院进行痛风性关节炎治疗的42例患者的临床资料,并对其进行回顾性分析,归纳痛风性关节炎的影像学表现。结果:9例患者经过X线检查后,未见明显的阳性征象;7例患者于指间小关节的软组织中以及第一跖趾关节中见小点状钙化灶影以及不规则条状灶影;20例患者发现在患处骨端出现骨质缺损以及骨质破坏等;6例患者因骨质侵蚀,导致指间关节出现严重间隙并伴有半脱位的现象。2例患者经过CT检查后未发现阳性症状;14例患者经过检查后发现关节偏侧性的软组织出现肿胀、且邻近肌之间的间隙较为模糊。16例患者的患病关节处偏侧软组织中见到片状长T2、T1信号灶;8例邻近骨髓腔中见到片状水肿信号灶。结论:影像学诊断对于痛风性关节炎可明确进行诊断,也能为痛风性关节炎的早期诊断提供重要的依据。
[Abstract]:Objective: to investigate the imaging features of gouty arthritis. In order to provide some basis for the early diagnosis and treatment of gouty arthritis. The clinical data of 42 cases of gouty arthritis treated in our hospital from October 2014 to October 2015 were selected. The imaging findings of gouty arthritis were analyzed retrospectively. Results 9 cases of gouty arthritis had no obvious positive signs after X-ray examination. In the soft tissue of the interphalangeal joint and the first metatarsophalangeal joint, 7 cases had small punctate calcification and irregular stripe. Bone defect and bone destruction were found in 20 patients. 6 cases had serious interphalangeal space and subluxation due to bone erosion. 2 cases had no positive symptoms after CT examination. The swelling of soft tissue was found in 14 patients, and the gap between adjacent muscles was blurred. In 16 patients, long T 2 flake was found in the soft tissue of the affected joint. T1 signal foci; Conclusion: imaging diagnosis can clearly diagnose gouty arthritis and provide important basis for early diagnosis of gouty arthritis.
【作者单位】：新疆独山子人民医院;
【分类号】：R589.7;R816.8
【正文快照】： 0引言痛风性关节炎属于一种晶体性的关节炎,主要是由于尿酸排泄生成过多或排泄减少、嘌呤代谢混乱导致体内的尿酸超标从而在患者的关节中积存而导致的。痛风性关节炎属于一种慢性代谢性疾病,其常合并慢性肾脏损害,病情严重的患者还可经常出现尿酸性尿路结石或者关节畸形。临床

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