痛风性关节炎X线表现与临床分析

目的探讨痛风性关节炎的X线及临床特点的。方法总结分析28例痛风性关节炎的X线表现、临床表现及实验室检查的结果。结果患者全部为男性,平均发病年龄为（50±16）岁。以足第一跖趾最为好发（19/28,67.9%）。X线表现主要是软组织偏侧性肿胀;骨质侵蚀性破坏呈穿凿状,边缘锐利、硬化,关节间隙狭窄,关节面不规整,可发生纤维强直,甚至关节畸形,也可发生半脱位或脱位,可伴有骨质增生,邻近骨质疏松。结论痛风性关节炎是一种主要累及中年男性,以急性关节炎症为主要表现的疾病,以第一跖趾关节最常受累。痛风性关节炎的X线表现多样,易与其他单发或多发骨关节病相混淆,必须认真分析其X线征象并结合临床表现及实验室检查才能做出正确诊断。

X-ray findings and clinical analysis of gouty arthritis

Objective To explore X-ray and clinical characteristics of gout arthritis.Methods The X-ray findings,clinical manifestations and laboratory examinations of 28 cases pathologically proved with gout arthritis were analyzed.Results All patients were male.The average age of disease onset was 50±16.The gouty arthritis occurred especially in the first metatarsophalangeal joint.The X-ray findings were dissymmetric swellings of soft tissue,bony erosion in form of scuttling with sharp and hard edge,narrowed joint space and irregular articular surface,emergence of fiber stiffness,even joint malformations and subluxation or dislocation,associated with hyperosteogeny and nearby osteoporosis.Conclusion Gout arthritis is a kind of acute joint arthrosis that mainly involves elder males.The first metatarsus toe joint is usually affected.Diversification was presented in X-ray findings of gouty arthritis,which can be easily confused with other single or multiple bone joint diseases.