X线和肌肉骨骼超声对痛风性关节炎的诊断价值比较

doi:10.7517/issn.1674-0475.200322

摘要/Abstract

摘要： 选取114例关节炎患者为研究对象，探究X线和肌肉骨骼超声对痛风性关节炎的诊断价值。经临床病理诊断，50例为痛风性关节炎，64例为其它关节炎。分别采用X射线诊断仪及超声诊断仪对患者进行检测，结果显示，X线检出痛风性关节炎43例，其它关节炎71例，与临床病理诊断具有较高一致性（Kappa=0.765，P<0.05）；肌肉骨骼超声检出痛风性关节炎48例，其它关节炎66例，与临床病理诊断具有极好的一致性（Kappa=0.821，P<0.05）；X线与肌肉骨骼超声检查敏感度分别为80.0%、88.0%，特异性分别为95.3%、93.8%；X线与肌肉骨骼超声检查病变数的阳性率分别为55.56%、84.72%（P<0.05）。与X线相比，肌肉骨骼超声的检出率较高、发现痛风性关节炎病变的能力较好。

关键词: X线, 肌肉骨骼超声, 痛风性关节炎, 诊断

Abstract: 114 patients with arthritis were selected as research objects to explore the diagnostic value of X-ray and musculoskeletal ultrasound in gouty arthritis.50 patients with clinical pathology diagnosis were gouty arthritis, 64 cases were other arthritis. X-ray diagnostic equipment and ultrasonic diagnostic equipment were used to detect the patients. The results showed that 43 cases of gouty arthritis and 71 cases of other arthritis were detected by X-ray, which had a high consistency with the clinicopathological diagnosis (Kappa=0.765, P<0.05); 48 cases of gouty arthritis were detected by musculoskeletal ultrasound, and 66 cases were other arthritis,which was in good agreement with the clinicopathological diagnosis (Kappa=0.821, P<0.05). The sensitivity of X-ray and musculoskeletal ultrasound was 80.0% and 88.0%, and the specificity of X-ray and musculoskeletal ultrasound was 95.3% and 93.8%,respectively. The positive rates of X-ray and musculoskeletal ultrasound examination were 55.56% and 919 84.72% respectively (P<0.05). Compared with X-ray, the detection rate of musculoskeletal ultrasound is higher and the ability to detect gouty arthritis lesions is better.

Key words: X-ray, musculoskeletal ultrasound, gouty arthritis, diagnosis

陈雷, 王微, 阿力木江·阿卜杜喀迪尔. X线和肌肉骨骼超声对痛风性关节炎的诊断价值比较[J]. 影像科学与光化学, 2020, 38(5): 919-923.

CHEN Lei, WANG Wei, ALIMUJIANG Abdukadir. Comparison of X-ray and Musculoskeletal Ultrasound in the Diagnosis of Gouty Arthritis[J]. Imaging Science and Photochemistry, 2020, 38(5): 919-923.

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