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《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:

26卷

期数:

2020年04期

页码:

366-369

栏目:

临床医学

出版日期:

2020-07-15

文章信息/Info

Title:

The characteristics of the Achilles tendon in tophaceous gout: a study of ultrasound

文章编号:

1006-8147(2020)04-0366-04

作者:

张俊霞¹; 2; 周贵明¹

（1.天津医科大学总医院超声科，天津300052； 2.天津港口医院超声科，天津300456）

Author(s):

ZHANG Jun-xia¹; 2;  ZHOU Gui-ming¹

（1.Department of Ultrasound, General Hospital, Tianjin Medical University, Tianjin 300052, China; 2.Department of Ultrasound, Tianjin Harbor Hospital, Tianjin 300456, China)

关键词:

痛风; 跟腱; 痛风石; 超声

Keywords:

gout; Achilles tendon; tophi; ultrasound

分类号:

R445.1

DOI:

-

文献标志码:

A

摘要:

目的：应用高频超声技术探讨痛风患者跟腱病变情况的分布及频率特征。方法：选取36例痛风患者作为痛风组，以及同性别、同年龄组的36名健康者作为对照组。所有患者均通过二维灰阶及能量彩色多普勒超声检查。对以下超声特征进行评估：痛风石、跟腱内强回声、跟腱内血流、跟腱及滑囊形态学。结果：痛风组大多数患者为中年男性（33/36，92%）。痛风组74%跟腱内存在痛风石（53/72），而对照组无（P <0.01）。与对照组相比，痛风组出现强回声点（P <0.01）和跟腱内能量多普勒信号（P <0.01）更频繁。跟腱结构损伤几乎为0。跟腱近段出现强回声点较中远段更普遍（P <0.01）。结论:痛风患者存在尿酸盐沉积、痛风石及血流信号的超声特征。除了尿酸盐沉积，其他跟腱内结构改变不常见。

Abstract:

Objective: To investigate the distribution and frequency characteristics of the Achilles tendon(AT) in patients with tophaceous gout using musculoskeletal ultrasound(US). Methods: Thirty-six participants with tophaceous gout and 36 age and sex-matched controls without gout or other arthritis were recruited. All participants underwent a greyscale and power Doppler US examination. The following US characteristics were evaluated: tophus, tendon echogenicity, tendon vascularity, tendon morphology, entheseal characteristics, and bursal morphology. Results: The majority of the participants with tophaceous gout were middleaged men(33/36, 92%). Tophus deposition was observed in 74%(53/72) of tendons in those with gout and in none of the controls(P <0.01). Hyperechoic spots(P <0.01) and intratendinous power Doppler signal(P <0.01) were more frequent in participants with gout compared to controls. Intratendinous structural damage was rare. Hyperechoic spots were significantly more common at the insertion compared to the zone proximal to the midsection（P <0.01）, but between-zone differences were not observed for other features. Conclusion: US features of urate deposition, tophus, and vascularization are present throughout the AT in patients with tophaceous gout. Intratendinous structural changes are infrequent except crystal deposition.

参考文献/References:

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相似文献/References:

备注/Memo

备注/Memo:

作者简介 张俊霞（1985-），女，主治医师，硕士在读，研究方向：医学影像与核医学；
通信作者：周贵明，E-mail：zhouguiming_ucgok@126.com。

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更新日期/Last Update: 2020-07-15