【摘要】 目的：探讨肌骨超声对类风湿性关节炎与痛风性关节炎骨质侵蚀的临床鉴别价值。方法：选取42例2017年10月-2018年10月在笔者所在医院治疗的类风湿性关节炎患者，将其列为A组，再选择同期42例在笔者所在医院治疗的痛风性关节炎患者，将其列为B组，对所有患者的临床资料进行回顾性分析，采用肌骨超声对所有患者关节的骨质侵蚀情况进行扫描，对其声像图特征进行分析。结果：两组患者的血流信号无明显差异(P>0.05)，但是A组患者的边界清晰率、痛风石、双轨征、点状高回声等的发生率均低于B组，A组患者外形中的圆形率、滑膜增生的发生率高于B组，两组之间差异有统计学意义(P<0.05)。结论：对关节炎患者骨质侵蚀的情况行肌骨超声检查，其声像图像能够对类风湿性关节炎与痛风性关节炎进行鉴别，临床价值较高。

    【关键词】 肌骨超声; 类风湿性关节炎; 痛风性关节炎; 骨质侵蚀; 滑膜增生; 血流信号

    doi：10.14033/j.cnki.cfmr.2019.24.030 文献标识码 B 文章编号 1674-6805(2019)24-00-02

    【Abstract】 Objective：To investigate the clinical value of musculoskeletal ultrasound in the diagnose of rheumatoid arthritis and gouty arthritis.Method：A total of 42 patients with rheumatoid arthritis who were treated in our hospital from October 2017 to October 2018 were enrolled in the group A.42 patients with gouty arthritis treated in our hospital were selected as group B.The clinical data of all patients were retrospectively analyzed.The bone erosion of all patients’ joints was scanned by musculoskeletal ultrasound ......