双源CT及关节超声对痛风性关节炎的诊断价值

The Diagnostic Value of Dual-Source CT and Joint Ultrasound in Gouty Arthritis

摘要: 目的：探讨双源CT及关节超声对痛风性关节炎的诊断价值。方法：以2022年1月~2023年1月因疑似痛风性关节炎收治于我院的81例患者纳入研究，对患者进行双源CT及关节超声检查，并以病理诊断结果为金标准，比较双源CT及关节超声及两者联合诊断痛风性关节炎的效能。结果：81例疑似痛风性关节炎患者中，病理结果为痛风50例，非痛风31例。双源CT及关节超声联合诊断痛风性关节炎的灵敏度、准确度明显高于单独诊断痛风性关节炎灵敏度、准确度，差异均有统计学意义(P < 0.05)；双源CT诊断痛风性关节炎的灵敏度、准确度与关节超声诊断痛风性关节炎的灵敏度、准确度比较，差异均无统计学意义(P > 0.05)。结论：双源CT联合关节超声诊断痛风性关节炎的灵敏度、准确度均明显高于单独诊断痛风性关节炎灵敏度、准确度，两者互相补充，联合诊断明显提高了痛风性关节炎的诊断价值。

Abstract: Objective: To investigate the value of dual-source CT and joint ultrasound in the diagnosis of gouty arthritis. Methods: A total of 81 patients with suspected gouty arthritis were admitted to our hospital from January 2022 to January 2023, and dual-source CT and joint ultrasound were performed, and the efficacy of dual-source CT and joint ultrasound and their combined diagnosis of gouty arthritis was compared with the pathological diagnosis results as the gold standard. Results: Among the 81 patients with suspected gouty arthritis, 50 had gout and 31 had non-gout. The sensitivity and accuracy of dual-source CT and joint ultrasound in the diagnosis of gouty arthritis were significantly higher than those in the diagnosis of gouty arthritis alone, and the difference was statistically significant (P < 0.05), while there was no significant difference in the sensitivity and accuracy of dual-source CT and joint ultrasound in the diagnosis of gouty arthritis (P > 0.05). Conclusion: The sensitivity and accuracy of dual-source CT combined with joint ultrasound in diagnosing gouty arthritis are significantly higher than those of either method alone. These two modalities complement each other, and their combined use markedly enhances the diagnostic value for gouty arthritis.