国际医学放射学杂志
國際醫學放射學雜誌
국제의학방사학잡지
INTERNATIONAL JOURNAL OF MEDICAL RADIOLOGY
2014年
4期
360-365
,共6页
痛风%关节炎%超声%诊断
痛風%關節炎%超聲%診斷
통풍%관절염%초성%진단
Gout%Arthritis%Ultrasound%Diagnosis
痛风性关节炎是临床常见疾病,由单钠尿酸盐结晶沉积在软骨、关节和周围软组织引发。超声不仅能用于痛风性关节炎的诊断和疗效评估,还可以引导细针穿刺获得诊断所需的组织样本。介绍痛风性关节炎的实用超声检查方法(六分钟检查法),以及超声在痛风性关节炎不同时期(无症状高尿酸血症期、急性期、发作间期和慢性期)中的诊断应用。在痛风性关节炎的诊治上,超声比X线、CT和MRI更有效,而且无辐射、检查费用低。
痛風性關節炎是臨床常見疾病,由單鈉尿痠鹽結晶沉積在軟骨、關節和週圍軟組織引髮。超聲不僅能用于痛風性關節炎的診斷和療效評估,還可以引導細針穿刺穫得診斷所需的組織樣本。介紹痛風性關節炎的實用超聲檢查方法(六分鐘檢查法),以及超聲在痛風性關節炎不同時期(無癥狀高尿痠血癥期、急性期、髮作間期和慢性期)中的診斷應用。在痛風性關節炎的診治上,超聲比X線、CT和MRI更有效,而且無輻射、檢查費用低。
통풍성관절염시림상상견질병,유단납뇨산염결정침적재연골、관절화주위연조직인발。초성불부능용우통풍성관절염적진단화료효평고,환가이인도세침천자획득진단소수적조직양본。개소통풍성관절염적실용초성검사방법(륙분종검사법),이급초성재통풍성관절염불동시기(무증상고뇨산혈증기、급성기、발작간기화만성기)중적진단응용。재통풍성관절염적진치상,초성비X선、CT화MRI경유효,이차무복사、검사비용저。
Gouty arthritis is a common disease. The musculoskeletal manifestations of gout are triggered by the deposition of monosodium urate (MSU) crystals in cartilage, joints, and surrounding soft tissues. Ultrasonography is not only helpful in diagnosing gouty arthritis but also in evaluating the curative effects. It can also be used for needle guidance to obtain tissue samples for diagnosis. This paper introduces the most feasible ultrasound examination for gouty arthritis (Six-Minutes Examination), and the application in diagnosis different phases of gouty arthritis (asymptomatic hyperuricemia, acute, intercritical, chronic gout). Compared with X-ray, CT, and MRI, US is considered as a more effective, non-radiating, and least expensive imaging technique in diagnosis and management of gouty arthritis.