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[1]林 盈 楊華娟 許小玲 楊 煜 張 韜 王 穎.高頻超聲與雙能量CT聯(lián)合診斷早期痛風(fēng)性關(guān)節(jié)炎的價(jià)值[J].福建醫(yī)藥雜志,2020,42(03):17-19.
　LIN Ying,YANG Huajuan,XU Xiaoling,et al.The value of high-frequency ultrasound combined with dual-energy CT in the diagnosis of early gouty arthritis[J].FUJIAN MEDICAL JOURNAL,2020,42(03):17-19.
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高頻超聲與雙能量CT聯(lián)合診斷早期痛風(fēng)性關(guān)節(jié)炎的價(jià)值()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
42
期數(shù):
2020年03期
頁碼:
17-19
欄目:
臨床研究
出版日期:
2020-07-04

文章信息/Info

Title:
The value of high-frequency ultrasound combined with dual-energy CT in the diagnosis of early gouty arthritis
文章編號(hào):
1002-2600(2020)03-0017-03
作者:
林 盈 楊華娟1 許小玲1 楊 煜1 張 韜2 王 穎1
福建省福州市第二醫(yī)院超聲科(福州 350007)
Author(s):
LIN Ying;  YANG Huajuan;  XU Xiaoling;  YANG Yu;  ZHANG Tao;  WANG Ying.
Department of Ultrasound, Fuzhou Municipal Second Hospital, Fuzhou, Fujian 350007, China
關(guān)鍵詞:
痛風(fēng);  關(guān)節(jié)炎;  超聲;  CT;  診斷
Keywords:
gout;  arthritis;  ultrasound;  CT;  diagnosis
分類號(hào):
R445
文獻(xiàn)標(biāo)志碼:
B
摘要:
目的 探討高頻超聲與雙能量CT單獨(dú)診斷及聯(lián)合診斷早期痛風(fēng)性關(guān)節(jié)炎的價(jià)值。方法 分別對(duì)50例病程<3個(gè)月的痛風(fēng)性關(guān)節(jié)炎患者行高頻超聲與雙能量CT檢查,分析高頻超聲診斷早期痛風(fēng)性關(guān)節(jié)炎的聲像圖特征,比較二者的診斷效能,探討聯(lián)合診斷早期痛風(fēng)性關(guān)節(jié)炎的價(jià)值。結(jié)果 高頻超聲對(duì)晶體沉積的檢出率高于雙能量CT(P<0.05)。早期痛風(fēng)性關(guān)節(jié)炎晶體沉積的超聲表現(xiàn)以點(diǎn)狀高回聲最常見,其發(fā)生率高于云霧狀高回聲和“雙軌征”(P<0.05)。將高頻超聲與雙能量CT二者聯(lián)合應(yīng)用診斷早期痛風(fēng)性關(guān)節(jié)炎,優(yōu)于任何單一檢查(P<0.05)。結(jié)論 高頻超聲對(duì)早期痛風(fēng)性關(guān)節(jié)炎診斷較雙能量CT更為敏感,兩種方法聯(lián)合診斷可提高診斷效能。
Abstract:
Objective To explore the value of high-frequency ultrasound combined with dual-energy CT in the diagnosis of early gouty arthritis.Methods High-frequency ultrasound and dual-energy CT were performed on 50 patients with gouty arthritis whose course of disease were less than 3 months.The sonographic characteristics of high-frequency ultrasound in the diagnosis of early gouty arthritis were analyzed.The diagnostic efficiency of high-frequency ultrasound and dual-energy CT were compared, and the value of the two methods combined diagnosis of early gouty arthritis was discussed.Results The detection rate of high-frequency ultrasound was higher than that of dual-energy CT(P<0.05).In the early stage of gouty arthritis, the most common ultrasonic manifestations of crystal deposition were pointhigh-echo, which was more than cloud high-echo and “double track sign”(P<0.05).The combination of high-frequency ultrasound and dual-energy CT was superior to any single examination in the diagnosis of early gouty arthritis(P<0.05).Conclusion High-frequency ultrasound is more sensitive than dual-energy CT in the diagnosis of early gouty arthritis.The combination of two diagnostic techniques can improve the diagnosis efficiency.

參考文獻(xiàn)/References:

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備注/Memo

備注/Memo:
基金項(xiàng)目:福州市衛(wèi)生計(jì)生科技計(jì)劃項(xiàng)目(2018-S-wq19); 2017年福建省臨床重點(diǎn)專科建設(shè)項(xiàng)目(骨科)1 風(fēng)濕免疫科; 2 骨科研究所
更新日期/Last Update: 2020-07-04