MRI 与关节镜对痛风性膝关节炎的诊断比较

Clinical comparative study of MRI and arthroscopy in diagnosis of gout arthritis of knee joints

摘要:

目的 比较膝关节痛风性关节炎MRI 诊断与关节镜诊断的优缺点。方法 选取30 例患者行 MRI 与膝关节镜检查，并经病理学检查证实为痛风性关节炎，对MRI 与关节镜诊断治疗痛风性关节炎的优 缺点进行比较分析。结果 MRI 与关节镜膝对痛风性膝关节炎关节腔内相关病情诊断无差异（P >0.05），膝 关节周围病情的诊断MRI 优于关节镜。结论 MRI 与关节镜膝对痛风性膝关节炎关节腔内相关病情诊断无 差异，而膝关节腔外病情的诊断MRI 优于关节镜。两者结合能够使痛风性膝关节炎诊断和治疗取得更好的 效果

Abstract:

Objective To compare the advantages and disadvantages of MRI and arthroscopic diagnoses of gout arthritis of the knee joints. Methods The MRI and arthroscopic images of the knee joints in 30 patients were compared and analyzed. The patients were confirmed by pathological examination to have gouty arthritis. The advantages and disadvantages of MRI and arthroscopy in diagnosis of gout arthritis were compared. Results There was no significant difference between MRI and arthroscopy in the diagnosis of the lesions in the joint cavities of the patients with knee gout arthritis, and MRI was significantly better than arthroscopy in diagnosis of the lesions outside of the knee joint cavities. Conclusions There is no significant difference between MRI and arthroscopy in the diagnosis of the lesions in the joint cavities of the patients with knee gout arthritis, and MRI is significantly better than arthroscopy in diagnosis of the lesions outside of the knee joint cavities. The combination of the two can make better diagnosis of gout arthritis.