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目的:探讨关节超声在急性痛风性关节炎诊断中的应用价值。方法:抽取2018年1月至2019年12月焦作煤业(集团)有限责任公司中央医院收治的急性痛风性关节炎患者80例为观察组，另抽取同期来院检查的非急性痛风性关节炎患者80例为对照组，两组患者均采用关节超声诊断检查，比较关节超声诊断检查的结果。结果:观察组患者滑膜增生、骨质侵蚀、肌腱周围炎的检出率[80.00%(64/80)、77.50%(62/80)、85.00%(68/80)]高于对照组[65.00%(52/80)、56.25%(45/80)、62.50%(50/80)]，n P0.05)。观察组患者急性痛风性关节炎发生在跖趾关节、踝关节的阳性率高于手关节、腕关节、膝关节，但差异未见统计学意义(n P>0.05)。n 结论:关节超声诊断急性痛风性关节炎患者的滑膜增生、骨质侵蚀、肌腱周围炎的检出率较高，同时也能准确检查发生关节炎的主要关节部位，临床诊断准确率较高。“,”Objective:To investigate the application value of joint ultrasound in the diagnosis of acute gout arthritis.Methods:A total of 80 patients with acute gouty arthritis admitted to Central Hospital of Jiaozuo Coal Industry (Group) Co., Ltd. from January 2018 to December 2019 were selected as the observation group. Another 80 patients with non acute gouty arthritis who underwent examination in the hospital at the same time were selected as the control group. Both groups were examined by joint ultrasound, and the results of joint ultrasound diagnosis were compared.Results:The detection rates of synovial hyperplasia, bone erosion, and peritendinitis in the observation group were 80.00% (64/80), 77.50% (62/80), 85.00% (68/80), respectively, higher than 65.00% (52/80), 56.25% (45/80) and 62.50% (50/80) in the control group, correspondingly (n P0.05). The positive rates of acute gouty arthritis in metatarsophalangeal joint and ankle joint of the observation group were higher than those in hand joint, wrist joint and knee joint, but the difference was not statistically significant (n P>0.05).n Conclusions:The detection rates of synovial hyperplasia, bone erosion and peritendinitis by joint ultrasound are higher in patients with acute gouty arthritis. And joint ultrasound can also accurately check the main joint parts of arthritis, with high clinical diagnosis accuracy.