摘要
目的:探讨肌骨超声检查在痛风性关节炎(GA)诊断及鉴别诊断中的应用价值.方法:选取 2021 年 5 月至 2023 年 5 月本院收治的 178 例关节炎患者作为研究对象,其中GA患者 98 例纳入观察组,风湿性关节炎(RA)患者 80 例纳入对照组.分析两组患者肌骨超声的影像学表现、肌骨超声评分以及对GA的诊断效能.结果:观察组患者双轨征、痛风石以及强回声点情况的检出率和滑膜病变、血流信号、关节囊物质沉积评分均高于对照组,骨侵蚀检出率和骨侵蚀积分低于对照组,差异均有统计学意义(P＜0.05);肌骨超声检查诊断GA的灵敏度、特异度、准确性、阳性预测值、阴性预测值分别为 89.36%、83.33%、86.52%、85.71%、87.50%.结论:肌骨超声可用于诊断以及鉴别诊断GA,为临床治疗GA提供可靠的依据,值得推广应用.
Abstract
Objective:To explore the application value of muscle bone ultrasound examination in the diagnosis and differential diagnosis of gouty arthritis.Methods:A total of 178 patients with arthritis admitted to our hospital from August 2021 to August 2023 were selected as the study objects,of which 98 patients with gouty arthritis(GA)were assigned to observation group,while 80 patients with rheumatoid arthritis(RA)were assigned to control group.The musculoskeletal ultrasonography,musculoskeletal ultrasonography score and efficacy in diagnosis of gouty arthritis were analyzed.Results:The detection rate of double track sign,gout stone,strong echo spot,synovial lesion,blood flow signal and joint capsule material deposition score in observation group were higher than those in control group,but the detection rate and score of bone erosion in observation group were lower than those in control group,the differences were statistically significant(P＜0.05).The sensitivity,specificity,accuracy,positive predictive value and negative predictive value of musculoskeletal ultrasonography in diagnosing GA were 89.36%,83.33%,86.52%,85.71%and 87.50%,respectively.Conclusion:Musculoskeletal ultrasound can be used in the diagnosis and differential diagnosis of GA.This method can provide reliable evidence in clinical diagnosis thus has high value in the diagnosis and treatment of GA.
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