首页|X射线、计算机体层成像及磁共振成像诊断痛风性关节炎的价值分析

X射线、计算机体层成像及磁共振成像诊断痛风性关节炎的价值分析

Analysis of the Value of X-Ray,CT and MRI Imaging in the Diagnosis of Gouty Arthritis

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目的:分析 X射线、计算机体层成像(CT)及磁共振成像(MRI)诊断痛风性关节炎的价值.方法:纳入2021年6月~2023年12月在本院接受诊治的86例膝关节炎患者作为研究对象,86例研究对象均接受X射线、CT、MRI检查,以《内科学》中关于痛风性关节炎诊断标准为金标准,对X射线、CT和MRI鉴别诊断痛风性关节炎的效能进行分析,并对X射线、CT和MRI检出痛风性关节炎影像学病变特点情况进行对比.结果:MRI鉴别诊断痛风性关节炎的准确率和灵敏度高于X射线和CT(P<0.05),MRI鉴别诊断痛风性关节炎的漏诊率低于X射线和CT(P<0.05),X射线、CT和MRI鉴别诊断痛风性关节炎的特异度和误诊率比较无统计学意义(P>0.05).MRI在滑膜增厚、关节腔积液、骨质侵蚀破坏和痛风石沉积等痛风性关节炎影像学病变特点检出率方面均高于X射线和CT(P<0.05).结论:MRI影像诊断痛风性关节炎的价值高于X射线和CT.
Objective:To analyze the diagnostic value of X-ray,computed tomography(CT)and magnetic resonance imaging(MRI)in gouty arthritis.Methods:A total of 86 patients with knee arthritis who received treatment in our hospital from June 2021 to December 2023 were included as study subjects.All 86 subjects received X-ray,CT and MRI examinations.The diagnostic criteria for gouty arthritis in"Internal Medicine"were taken as the gold standard to analyze the efficacy of X-ray,CT and MRI in differential diagnosis of gouty arthritis.The imaging characteristics of gouty arthritis detected by X-ray,CT and MRI were compared.Results:The accuracy and sensitivity of MRI in the differential diagnosis of gouty arthritis were higher than those of X-ray and CT(P<0.05),and the rate of missed diagnosis of MRI was lower than that of X-ray and CT(P<0.05).There was no statistical significance in the specificity and misdiagnosis rate of X-ray,CT and MRI in the differential diagnosis of gouty arthritis(P>0.05).MRI showed higher detection rates of synovial thickening,joint effusion,bone erosion and tophite deposition than X-ray and CT(P<0.05).Conclusion:MRI is more valuable than X-ray and CT in diagnosing gouty arthritis.

X-raycomputed tomographymagnetic resonance imagingknee osteoarthritisgouty arthritis

李奎生

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漳州市中医院放射科 (福建 漳州 363000)

X射线 计算机体层成像 磁共振成像 膝关节炎 痛风性关节炎

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(16)