本文選題：痛風(fēng) + 尿酸　； 參考：《重慶醫(yī)學(xué)》2017年04期

【摘要】：目的 評估雙源CT雙能量成像在診斷痛風(fēng)結(jié)節(jié)沉積的臨床價值。方法 選取該院2012年12月至2015年12月收治的痛風(fēng)患者65例,另選同期收治的65例非痛風(fēng)患者(類風(fēng)濕性關(guān)節(jié)炎、退行性骨性關(guān)節(jié)炎及不明原因下肢疼痛)作為對照組,雙源CT雙能量掃描兩組患者的疼痛部位,比較兩組患者的尿酸鹽沉積差異。挑選3名有經(jīng)驗的臨床醫(yī)生,在不了解影像學(xué)結(jié)果的情況下通過問病史和體格檢查對痛風(fēng)組患者尿酸鹽沉積狀況(痛風(fēng)結(jié)節(jié))進(jìn)行評估,比較臨床評估與雙源CT雙能量成像結(jié)果的差異。結(jié)果 雙源CT雙能量成像顯示對照組無痛風(fēng)結(jié)節(jié)沉積,痛風(fēng)組患者在腕關(guān)節(jié)、膝關(guān)節(jié)及足踝關(guān)節(jié)檢測出痛風(fēng)結(jié)節(jié)沉積的比例分別為96.06%(33/34),100.00%(22/22)和96.49%(55/57)。65例患者經(jīng)雙源CT雙能量成像共檢測出痛風(fēng)結(jié)節(jié)沉積部位545處,是醫(yī)生臨床評估(125處)認(rèn)定的4.36倍。結(jié)論 雙源CT雙能量成像診斷痛風(fēng)結(jié)節(jié)沉積無創(chuàng)簡便,準(zhǔn)確率高,漏診率低,應(yīng)作為臨床篩查痛風(fēng)病的重要檢查方法。
[Abstract]:Objective to evaluate the clinical value of dual source CT dual energy imaging in the diagnosis of gout nodule deposition. Methods 65 patients with gout admitted from December 2012 to December 2015 were selected and 65 cases of non gout (rheumatoid arthritis, degenerative osteoarthritis and unexplained lower extremity pain) treated in the same period were selected as the control group, and dual source CT dual energy was used. The pain sites of the two groups were measured and the differences in the uric acid salt deposition in the two groups were compared. 3 experienced clinicians were selected to evaluate the urate deposition (gout) in the gout group (gouty nodules) by asking the medical history and physical examination without understanding the imaging results. The clinical evaluation and dual source CT dual energy imaging junction were compared. Results the double source CT dual energy imaging showed no gout nodule deposition in the control group. The ratio of gout nodules in the wrist joint, knee and ankle joints was 96.06% (33/34), 100% (22/22) and 96.49% (55/57).65 patients were detected by double source CT dual energy imaging to detect the gout nodule deposition site in gout patients. Conclusion the double source CT dual energy imaging in the diagnosis of gouty nodules is not invasive, accurate, and the rate of missed diagnosis is low. It should be used as an important method for clinical screening of gout.
【作者單位】： 河南省安陽市人民醫(yī)院內(nèi)分泌科;河南省安陽市人民醫(yī)院放射科;
【分類號】：R589.7;;R816.6

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