摘要
痛风性关节炎是由于嘌呤代谢紊乱或肾脏排出尿酸钠减少,导致血清尿酸钠浓度升高进而尿酸钠晶体在关节内及其周围结构中沉积而诱发的炎症性疾病,在晚期可出现关节畸形及功能障碍。随着人们生活条件的改善及饮食结构的改变,痛风的发病率不断升高,早期诊断、及时干预治疗可明显改善患者预后及生活质量。目前应用于痛风的影像学检查有超声、X线平片、双能CT、核磁共振成像等。然而,痛风不同阶段的临床表现复杂多变,给影像学诊断带来挑战。该文将对上述各种影像学检查在痛风诊治中的应用现状做一综述。
Gouty arthritis is an inflammatory disease induced by purine metabolism disorder or decreased excretion of monosodium urate from the kidneys,which leads to an increase in serum sodium uric acid concentration,and then increasing monosodium urate crystals deposited on the joints and periarticular structures.And deformities and dysfunction may be occurred in the later stages.As the living conditions improves and diet structure changes,the incidence of gout is increasing year by year.Therefore early diagnosis and timely intervention can significantly improve the prognosis and patients’quality of life.Currently,the imaging examinations used for gout include ultrasound,plain X-ray,dual-energy computed tomography,and magnetic resonance imaging.However,the clinical manifestations of different stages of gout are complex and variable,which brings challenges to imaging diagnosis.This article reviewed the current application of the different imaging methods in the diagnosis and treatment of gout.
作者
马俪文(综述)
刘健
党万太(审校)
MA Liwen;LIU Jian;DANG Wantai(Department of Ultrasound;Department of Rheumatology,The First Affiliated Hospital of Chengdu Medical College,Chengdu,Sichuan 610000,China)
出处
《重庆医学》
CAS
2023年第17期2662-2666,共5页
Chongqing medicine
基金
国家自然科学基金项目(81603441)
四川省卫生健康委员会重点项目(19ZD004)
成都医学院第一附属医院科研启动基金项目(CYFY-GQ18)。
