安徽医科大学学报2024，Vol.59Issue(5)：880-884,5.DOI:10.19405/j.cnki.issn1000-1492.2024.05.021
肌骨超声在类风湿关节炎和痛风性关节炎患者有症状关节病变诊断中的作用比较
A comparative evaluation of the role of musculoskeletal ultrasound in diagnosing symptomatic joint lesions in patients with rheumatoid arthritis and gouty arthritis
摘要
Abstract
Objective To compare the ultrasound signs of symptomatic joint lesions in rheumatoid arthritis (RA) and gouty arthritis (GA), musculoskeletal ultrasound (MSUS) was utilized.Methods A retrospective analysis was performed for 85 hospitalized patients with RA and 55 hospitalized patients with GA in the same period, and the differences in general data, diseased joints and ultrasound signs between the two groups were compared.Re-sults The gender, age and diseased joints of the two groups were statistically significant (all P<0.05).The de-tection rate of knee joint lesions was the highest;the RA group had high sensitivity, high specificity of meniscal in-jury, and high diagnostic efficiency of bone erosion, while the diagnostic performance of the three combined ultra-sound signs of punctate strong echo, double track sign and tophi in the GA group was higher than that of any indi-vidual diagnosis, and the sensitivity and specificity were also higher.The course of disease in the RA group was positively correlated with bone erosion (P<0.05) , and the course in the GA group was positively correlated with tophi (P<0.05).Conclusion The ultrasound signs of RA and GA are different, and MSUS has good value in the diagnosis and differential diagnosis of the two.关键词
肌骨超声/类风湿关节炎/痛风性关节炎/关节病变/诊断Key words
musculoskeletal ultrasound/rheumatoid arthritis/gouty arthritis/joint pathology/diagnosis分类
医药卫生引用本文复制引用
王佩瑶,徐胜前,何丹青,岑阳,秦杨阳,李军,邵丽萍,黄猛..肌骨超声在类风湿关节炎和痛风性关节炎患者有症状关节病变诊断中的作用比较[J].安徽医科大学学报,2024,59(5):880-884,5.基金项目
国家重点研发计划项目(编号:2022YFC2504603) （编号:2022YFC2504603）
合肥市卫生健康委应用医学研究项目(编号:Hwk2022zc054) （编号:Hwk2022zc054）
