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目的探讨对足部痛风石患者行双能量CT检查的临床特点及价值。方法随机选取2015年8月—2016年11月期间在该院接受诊治45例痛风患者作为对象,所有患者均接受双能量CT检查,对其临床诊治资料进行回顾性分析。结果检查显示,45例患者均存在痛风石沉积,沉积在174处关节和85条韧带/肌腱,第1跖趾关节(74.86%)、跟腱(38.82%)为最常见受累部位。结论足部痛风石沉积部位主要为关节以及韧带/肌腱,最常见受累部位为第1跖趾关节、跟腱。
Objective To investigate the clinical features and value of dual-energy CT in foot tophi patients. Methods A total of 45 patients with gout admitted to our hospital from August 2015 to November 2016 were randomly selected. All patients underwent dual-energy CT examination and their clinical diagnosis and treatment data were retrospectively analyzed. The results of the examination showed that all the 45 patients had deposits of tophi, depositing 174 joints and 85 ligaments / tendons, the first metatarsophalangeal joint (74.86%) and the Achilles tendon (38.82%) were the most common sites. Conclusion The sites for the deposition of tophi are mainly joints and ligaments / tendons. The most common site involved is the first metatarsophalangeal joint and Achilles tendon.