CAJ | 학술논문

目的：应用多排螺旋 CT 对踝跗关节痛风石常见沉积部位进行分析，并对痛风发病机制进行探讨研究。方法对临床确诊34例踝跗关节痛风患者的双踝跗关节行 CT 平扫检查，其中55个踝跗关节可见痛风石沉积。将痛风石沉积部位分为韧带组、肌腱组及关节组，并分别对其进行记录、分析。结果韧带组中常见受累韧带依次为距腓前韧带(n=38)、内侧韧带(距骨跟骨端)(n=30)、距跟骨间韧带(n=29)(P <0.05)。肌腱组最常受累肌腱为跟腱(n=18)，其次为胫骨后肌腱(n=7)(P <0.05)。关节组依次为楔间关节(n=15)、胫腓下关节(n=10)(P <0.05)。结论距腓前韧带为踝跗关节痛风石最常受累韧带，跟腱为最常受累肌腱。痛风石最易累及的关节为楔骨间关节。
목적：응용다배라선 CT 대과부관절통풍석상견침적부위진행분석，병대통풍발병궤제진행탐토연구。방법대림상학진34례과부관절통풍환자적쌍과부관절행 CT 평소검사，기중55개과부관절가견통풍석침적。장통풍석침적부위분위인대조、기건조급관절조，병분별대기진행기록、분석。결과인대조중상견수루인대의차위거비전인대(n=38)、내측인대(거골근골단)(n=30)、거근골간인대(n=29)(P <0.05)。기건조최상수루기건위근건(n=18)，기차위경골후기건(n=7)(P <0.05)。관절조의차위설간관절(n=15)、경비하관절(n=10)(P <0.05)。결론거비전인대위과부관절통풍석최상수루인대，근건위최상수루기건。통풍석최역루급적관절위설골간관절。
Objective To analyze the distribution of tophus in ankle and tarsal joints by multislice spiral computed tomography (MSCT)and to explore the pathogenesis of gout.Methods 34 patients with a documented diagnosis of gout underwent CT examina-tion of bilateral ankle and tarsal joints,and 55 ankle and tarsal joints were observed tophus.The sites of tophus deposition were cate-gorized into groups of ligament,tendon and joint in order to record and analyze.Results The tophus were showed at the anterior talofibular ligament (n=38),the medial ligament (the site of talus and calcaneus)(n=30)and the interosseous talocalcaneal liga-ment (n=29)(P <0.05)in the group of ligament;at achilles tendon (n= 18),followed by tibialis posterior tendon (n= 7)(P <0.05)in the group of tendon;at articulations intercuneiformes (n=1 5)and inferior tibiofibular articulation (n= 10)(P <0.05 )in the group of joint.Conclusion In ankle and tarsal joints,tophus is commonly deposited at the anterior talofibular ligament,at the achilles tendon and the articulationes intercuneiformes.