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目的:探讨痛风性关节炎采用X线诊断的临床价值。方法:选择我院2008年1月至2012年1月收治的痛风性关节炎28例,采用X线诊断,对其临床资料进行回顾性分析。结果:24例首发和好发部位在第一跖趾关节,占85.6%,指间及掌指关节8例,膝关节1例,踝关节5例,肘关节2例,腕关节2例。本组骨质改变23例,占82.1%,28例软组织均有改变,占100%,关节改变18例,占64.3%。其它改变10例,占35.7%。结论:痛风性关节炎采用X线诊断可及时结合临床表现和实验室检查确诊。
Objective: To investigate the clinical value of X-ray diagnosis of gouty arthritis. Methods: 28 cases of gouty arthritis admitted to our hospital from January 2008 to January 2012 were selected. The clinical data were retrospectively analyzed by X-ray. Results: The first metatarsophalangeal joint in 24 cases accounted for 85.6% of the first metatarsophageal metacarpal and metatarsophalangeal joints, 8 cases of interphalangeal and metacarpophalangeal joints, 1 case of knee joint, 5 cases of ankle joint, 2 cases of elbow joint and 2 cases of wrist joint. The group of bone changes in 23 cases, accounting for 82.1%, 28 cases of soft tissue have changed, accounting for 100%, joint changes in 18 cases, accounting for 64.3%. Other changes in 10 cases, accounting for 35.7%. Conclusion: gouty arthritis with X-ray diagnosis can be timely combined with clinical manifestations and laboratory tests confirmed.