中国临床保健杂志2017，Vol.20Issue(4)：376-378,3.DOI:10.3969/J.issn.1672-6790.2017.04.012
肌肉骨骼超声对老年痛风性关节炎的诊断价值
Diagnostic value of musculoskeletal ultrasound in elderly patients with gouty arthritis
摘要
Abstract
Objective To investigate the clinical effect of musculoskeletal ultrasound in the diagnosis of gouty arthritis (GA) in the elderly.Methods 44 elderly patients with GA were selected as the study group,and 44 patients with similar diseases in the same period were selected as the control group.By using musculoskeletal ultrasound,the indexes of synovial hyperplasia,soft tissue swelling,bone erosion,bursa ossification and tenosynovitis etc.in the two groups were inspected,and to evaluated ultrasound sensitivity and specificity according to showed typical symptoms of gout.Results A total of 66 joint disease were inspected in the study group,64 in the control group,statistics the first metatarsophalangeal joint,proximal interphalangeal joint,shoulder joint,ankle,wrist and knee joint number in the two groups,it found that there were statistical significance differences in the wrist and knee joint lesion number (P<0.05);in the two groups synovial hyperplasia,bursa ossification had no significant difference (P>0.05);the incidence rate of tophus and hyperechoic ligament points was 18.18%,28.79% in the study groups,while in the control group it had no occurred,and the incidence of bilateral high echo syndrome was statistically significant between the two groups (P<0.05) High echo points,bilateral signs,and hyperechoic points in the ligament were the typical symptoms of GA,if the above appeared alone in ultrasonic diagnosis,it indicate that the sensitivity is low and the gout specificity is high,if the above appeared more than one,it indicate that the sensitivity and specificity were all needing to be improved.In this study,sensitivity and specificity in all the above of four were high;and in the two groups the incidence rate of soft tissue swelling,bone erosion and tenosynovitis were all statistically significant (P<0.05).Conclusion The musculoskeletal ultrasound has high sensibility and accuracy,and the ultrasonic imaging manifestation is obvious,it is worthy to be popularized in the diagnosis of GA in the elderly.关键词
关节炎/痛风性/超声检查/多普勒/彩色/肌/骨骼/老年人Key words
Arthritis/gouty/Ultrasonography/doppler/color/Muscle/skeletal/Aged分类
医药卫生引用本文复制引用
沈华良,刘夏天,谭燕,胡寅峰..肌肉骨骼超声对老年痛风性关节炎的诊断价值[J].中国临床保健杂志,2017,20(4):376-378,3.基金项目
浙江省医药卫生一般研究计划(2014KYB234) （2014KYB234）
