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彩色多普勒超声对痛风性关节炎和骨性关节炎的鉴别价值 被引量:5

Value of Color Doppler Ultrasound in the Differential Diagnosis of Gouty Arthritis and Osteoarthritis
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摘要 目的分析彩色多普勒超声对痛风性关节炎和骨性关节炎的鉴别价值。方法选取2017年11月至2018年11月大连市第二人民医院收治的痛风性关节炎患者49例,骨性关节炎患者49例,两组患者均采用彩色多普勒超声进行检测,对比两组患者超声状况。结果两组患者关节积液以及滑膜增厚的数据并未有较大差异,同时差异并无统计学意义(χ^2=0.210、0.379,P> 0.05);痛风性关节炎患者与骨性关节炎,多点状高回声、双轨征、痛风石等各评分差异显著,差异有统计学意义(χ^2=70.491、76.618、67.586,P <0.05);痛风性关节炎组与骨性关节炎组的血膜分级状况比较,差异有统计学意义(P <0.05)。结论为痛风性关节炎和骨性关节炎患者采用彩色多普勒超声进行诊断,可有效提升诊断效果,同时也能为疾病评级提供重要参考依据,有临床应用价值。 Objective To analyze the differential value of color Doppler ultrasound in gouty arthritis and osteoarthritis.Methods 49 patients with gouty arthritis and 49 patients with osteoarthritis were selected from November 2017 to November 2018 in our hospital.The two groups were examined by color Doppler ultrasound,and the ultrasound status of the two groups was compared.Results There was no signifi cant diff erence in the data of joint eff usion and synovial membrane thickening between the two groups(χ^2=0.210,0.379,P>0.05),and there was signifi cant diff erence in the scores of gouty arthritis patients and fi rst ratio with osteoarthritis,hyperechoic,bi-track sign and gout stone(χ^2=70.491,76.618,67.586,P<0.05).There was signifi cant diff erence in blood membrane grading between gouty arthritis group and osteoarthritis group(P<0.05).Conclusion Color Doppler ultrasonography can eff ectively improve the diagnostic effect of gouty arthritis and osteoarthritis,and provide important reference for disease rating.It has clinical application value.
作者 刘晓洋 LIU Xiao-yang(Department of Ultrasound,Dalian Second People's Hospital,Dalian 116001,China)
出处 《中国医药指南》 2020年第24期83-84,共2页 Guide of China Medicine
关键词 彩色多普勒超声 痛风性关节炎 骨性关节炎 Color Doppler ultrasound Gouty arthritis Osteoarthritis
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