CAJ | 학술논문

目的研究痛风性关节炎的X线影像学特征.方法回顾性分析46例被确诊为痛风性关节炎患者的X线影像学资料.结果痛风性关节炎多发生于第一跖趾关节,占80.4%.X线表现主要是软组织偏侧性肿胀,骨质侵蚀性破坏,关节间隙狭窄,关节面不规整,可发生纤维强直,关节畸形,半脱位或脱位,可伴有骨质增生,骨质疏松.结论痛风性关节炎的X线表现呈多样化,易与其他骨关节病混淆,必须认真分析其X线征象才能作出正确诊断.
목적 연구통풍성관절염적X선영상학특정.방법 회고성분석46례피학진위통풍성관절염환자적X선영상학자료.결과 통풍성관절염다발생우제일척지관절,점80.4%.X선표현주요시연조직편측성종창,골질침식성파배,관절간극협착,관절면불규정,가발생섬유강직,관절기형,반탈위혹탈위,가반유골질증생,골질소송.결론 통풍성관절염적X선표현정다양화,역여기타골관절병혼효,필수인진분석기X선정상재능작출정학진단.
Objective To study the X-ray imaging characteristics of gouty arthritis. Methods The X-ray plates from gouty arthritis were analyzed. Results The gouty arthritis usually occurred in the first metatarsophalangeal joint. The X-ray findings were dissymmetric swellings of soft tissue,bony erosion defect with sharp and hard edge,narrowed joint space and irregular articular surface,emergence of fiber stiffness,even joint malformations and sublimation or dislocation, associated with hyperosteogeny and nearby osteoporosis. Conclusion Diversification was presented in X-ray findings of gouty arthritis, which could be easily confused with other single or multiple bone joint diseases. As a result, accurate diagnosis should be based on careful analysis about X-ray findings.