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第一跖趾关节超声检查对痛风的诊断价值

周秀丽,李建锋,林家东,林鸣琴,卢志娟,王钰,林馥纯

Journal of Guangdong Medical College（2021）

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Abstract
目的 分析第一跖趾关节(MPJ1)超声检查对痛风的诊断价值.方法 用彩色多普勒超声检查50例痛风、40例无症状高尿酸血症(AH)、40例非痛风性关节炎患者MPJ1～5,比较3组间超声结果.结果 痛风组MPJ1病变高于MPJ2～5,超声联合萤火虫技术对MPJ1微结晶检出率高于单纯常规超声(P<0.01).痛风组MPJ1结晶、双边征、痛风石检出率高于AH组和非痛风性关节炎组(P<0.01).结论 MPJ1超声检查可做为痛风诊断的首选关节.
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