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CT和MRI检查诊断痛风性关节炎的诊断效能比较分析

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目的 比较分析电子计算机断层扫描(CT)、磁共振成像(MRI)检查诊断痛风性关节炎的诊断效能。方法 回顾性选取岳阳市中心医院2019年1月至2023年6月收治的52例膝关节炎患者(71个膝关节)作为研究对象。所有患者均接受CT、MRI检查,金标准为关节液、痛风石穿刺活检与临床诊断结果。统计比较CT、MRI检查痛风性关节炎的病变征象、检出结果、诊断效能。结果 CT检查对痛风性关节炎特征性的尿酸盐结晶检出率高于MRI检查,对骨质异常、关节积液、滑膜肥厚、等伴发征象的检出率低于MRI检查,差异有统计学意义(P<0。05)。CT检查对痛风性关节炎的诊断效能各指标均高于MRI检查,但差异无统计学意义(P>0。05)。结论 在痛风性关节炎诊断中,CT检查的诊断效能较高,且能够清晰显示痛风石的具体情况,而MRI检查虽定性能力较差,但可清楚显示病变征象情况,有助于评价关节整体损害程度。
Comparative analysis of diagnostic efficacy between CT and MRI in the diagnosis of gouty arthritis
Objective To compare and analyze the diagnostic efficacy between computed tomography(CT)and magnetic resonance imaging(MRI)in the diagnosis of gouty arthritis.Methods A total of 52 patients with knee arthritis(71 knees)admitted to Yueyang Central Hospital from January 2019 to June 2023 were selected retrospectively as the study subjects.All patients were examined by CT and MRI,and the gold standard was joint fluid,tophi puncture biopsy and clinical diagnosis results.The pathological signs,detection results and diagnostic efficacy of CT and MRI in gouty arthritis were statistically compared.Results The detection rate of characteristic urate crystals in gouty arthritis by CT examination was higher than that by MRI examination,and the detection rate of accompanying signs such as bone abnormalities,joint effusion,synovial hypertrophy,etc.was lower than that by MRI examination,with statistical significance(P<0.05).The diagnostic efficacy of CT in gouty arthritis was higher than that of MRI examination,but the difference was not statistically significant(P>0.05).Conclusion In the diagnosis of gouty arthritis,CT examination has a higher diagnostic efficacy and can clearly display the specific condition of gouty stones.However,although MRI examination has poor qualitative ability,it can clearly display the signs of the disease,which helps to evaluate the overall degree of joint damage.

Gouty arthritisComputed tomographyMagnetic resonance imagingDiagnostic efficacy

刘正科、李军

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湖南省岳阳市中心医院放射科,湖南岳阳 414000

痛风性关节炎 电子计算机断层扫描 磁共振成像 诊断效能

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(15)