快速关节穿刺液肉眼分析在关节疾病诊断的价值

目的探讨快速关节穿刺液肉眼分析对快速诊断关节疾病的临床价值。 方法回顾性分析广州市花都区人民医院关节外科从2015年6月至2017年8月纳入符合标准的180例膝、踝、腕关节疾病患者，通过肉眼观察快速关节穿刺液的性状(包括颜色、透明度、粘稠度等)来协助诊断，结合穿刺前后的诊断及最终诊断符合率来分析快速关节穿刺液的肉眼性状对关节疾病诊断的贡献。纳入标准为关节痛而且有关节积液表现，并均由同一医师完成穿刺；排除标准为各种原因不能完成最终诊断的患者。 结果膝关节穿刺168例，踝关节9例，腕关节3例，所有患者没有发生因快速穿刺所致的感染、血管神经损伤等并发症。穿刺前诊断率为88.3%，穿刺后诊断率高达95.6%。 结论快速关节穿刺液肉眼下的颜色、粘稠度、透明度等性状特征分析在关节疾病的快速诊断中具有一定诊断参考价值。

Value of naked eye analysis on rapid articular puncture fluid in diagnosis of joint diseases

ObjectiveTo explore the clinical value of rapid joint puncture fluid naked eye analysis in rapid diagnosis of joint diseases. MethodsFrom June 2015 to August 2017, 180 patients with knee, ankle or wrist diseases in Guangzhou Huadu District People’s Hospital were retrospectively analyzed. The characteristics of rapid articular puncture fluid (including color, diaphaneity, viscosity and so on) were observed through naked eye to assist diagnosis, combining with the diagnosis before and after puncture and the coincidence rate of final diagnosis, the contribution of naked eye character of rapid articular puncture fluid to joint disease diagnosis was analyzed. The inclusion criteria was patients with joint pain and joint effusion, and all were completed by the same physician, exclude criteria was patients who cannot complete the final diagnosis for various reasons. ResultsThere were 168 cases of knee joint puncture, nine cases of ankle joint and three cases of wrist joint. All the patients had no complication such as infection caused by rapid puncture, vascular or nerve injury, etc. The rate of diagnosis before puncture was 88.3% and that after the puncture was 95.6%. ConclusionThe analysis of the color, viscosity and transparency of the rapid articular puncture fluid under the naked eye has a certain reference value in the rapid diagnosis of joint diseases.