[1]韦琳,卢忠武,廖云,等. 双能量CT对痛风性关节炎的诊断价值[J].中国医学物理学杂志,2019,36(5):568-570.[doi:DOI:10.3969/j.issn.1005-202X.2019.05.014]
　WEI Lin,LU Zhongwu,LIAO Yun,et al. Diagnostic value of dual-energy CT in gouty arthritis[J].Chinese Journal of Medical Physics,2019,36(5):568-570.[doi:DOI:10.3969/j.issn.1005-202X.2019.05.014]
点击复制

 双能量CT对痛风性关节炎的诊断价值()
分享到：

《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
36卷
期数:
2019年第5期
页码:
568-570
栏目:
医学影像物理
出版日期:
2019-05-25

文章信息/Info

Title:
 Diagnostic value of dual-energy CT in gouty arthritis
文章编号:
1005-202X（2019）05-0568-03
作者:
 韦琳; 卢忠武; 廖云; 李力; 陆泳梁; 石复兴
 河池市人民医院放射科，广西 河池 547000
Author(s):
 WEI Lin;  LU Zhongwu;  LIAO Yun;  LI Li;  LU Yongliang;  SHI Fuxing
 Department of Radiology, Hechi People’s Hospital, Hechi 547000, China
关键词:
双能量CT; 痛风性关节炎; 痛风结节; 骨质破坏
Keywords:
 ; Keywords: dual-energy CT;  gouty arthritis;  gouty nodule;  bone destruction
分类号:
R684.3
DOI:
DOI:10.3969/j.issn.1005-202X.2019.05.014
文献标志码:
A
摘要:
 目的：探讨双能量CT扫描对痛风性关节炎的诊断价值。方法：选取疑似痛风性关节炎患者91例，均给予双能量CT扫描。结果：金标准确诊痛风性关节炎71例，非痛风性关节炎20例；双能量CT诊断痛风性关节炎68例，非痛风性关节炎23例。双能量CT诊断痛风性关节炎的灵敏度、特异度、阳性预测值和阴性预测值分别为91.55%、85.00%、95.59%和73.91%；双能量CT对间歇慢性期痛风结节、骨质破坏的检出率分别为95.12%和65.85%，明显高于急性期（P<0.05）；双能量CT对尿酸值＜420 μmol/L和≥420 μmol/L患者痛风结节和骨质破坏检出率比较无统计学差异（P>0.05）。结论：双能量CT扫描对痛风性关节炎有较好的诊断价值。
Abstract:
 Abstract: Objective To investigate the diagnostic value of dual-energy CT in gouty arthritis. Methods A total of 91 patients with suspected gouty arthritis were scanned by dual-energy CT. Results According to the golden standard, 71 patients were diagnosed with gouty arthritis, while the others were diagnosed with non-gouty arthritis. The results of dual-energy CT showed that there were 68 cases of gouty arthritis and 23 cases of non-gouty arthritis. The sensitivity, specificity, positive predictive value and negative predictive value of dual energy CT in the diagnosis of gouty arthritis were 91.55%, 85.00%, 95.59% and 73.91%, respectively. The detection rates of dual-energy CT in gout nodules and bone destruction in intermittent chronic phase were 95.12% and 65.85%, respectively, which were significantly higher than those in acute phase (P<0.05). No significant difference was found in the detection rate of dual-energy CT in gouty nodules and bone destruction between patients with uric acid <420 μmol/L and those with uric acid ≥420 μmol/L (P>0.05). Conclusion Dual-energy CT scan has great diagnostic value in gouty arthritis and is worthy of clinical application.

相似文献/References:

[1]彭巍炜. 彩色多普勒超声对痛风性关节炎和骨性关节炎的鉴别价值[J].中国医学物理学杂志,2018,35(10):1173.[doi:DOI:10.3969/j.issn.1005-202X.2018.10.012]
　PENG Weiwei. Value of color Doppler ultrasound in differential diagnosis of gouty arthritis and osteoarthritis[J].Chinese Journal of Medical Physics,2018,35(5):1173.[doi:DOI:10.3969/j.issn.1005-202X.2018.10.012]
[2]南晓强,雷鹏,李娟娥.基于生物信息学的息痛散治疗痛风性关节炎的作用机制[J].中国医学物理学杂志,2021,38(11):1430.[doi:DOI:10.3969/j.issn.1005-202X.2021.11.020]
　NAN Xiaoqiang,LEI Peng,LI Juane.A bioinformatics-based study on the mechanism of action of Xitongsan in the treatment of gouty arthritis[J].Chinese Journal of Medical Physics,2021,38(5):1430.[doi:DOI:10.3969/j.issn.1005-202X.2021.11.020]
[3]刘峰,朱月香,崔书君,等.双能量CT的基本原理与研究进展[J].中国医学物理学杂志,2022,39(2):198.[doi:DOI:10.3969/j.issn.1005-202X.2022.02.012]
　LIU Feng,ZHU Yuexiang,CUI Shujun,et al.Basic principle of dual-energy CT and its research advance[J].Chinese Journal of Medical Physics,2022,39(5):198.[doi:DOI:10.3969/j.issn.1005-202X.2022.02.012]
[4]刘伟星,康晓伟,张杨,等.膝关节痛风性关节炎的MRI表现[J].中国医学物理学杂志,2024,41(8):992.[doi:DOI:10.3969/j.issn.1005-202X.2024.08.011]
　LIU Weixing,KANG Xiaowei,ZHANG Yang,et al.MRI findings of gouty arthritis of knee joint[J].Chinese Journal of Medical Physics,2024,41(5):992.[doi:DOI:10.3969/j.issn.1005-202X.2024.08.011]

备注/Memo

备注/Memo:
 【收稿日期】2018-11-23
【基金项目】河池市科学研究与技术开发计划项目（B1717-05）
【作者简介】韦琳，硕士，副主任医师，研究方向：骨肌、腹部影像诊断，E-mail: 2122247502@qq.com
更新日期/Last Update: 2019-05-23