10年来共收治痛风性关节炎42例,其中男40例,女2例;年龄40～65岁。受累关节以下肢为主,第一拇趾、跖趾关节首发的38例(90.5%),踝关节3例,足跟1例。单关节受累37例,多关节受累5例。42例血尿酸均较高。血沉>20mm/h 36例。33例摄关节X线片,多为软组织肿胀,其中8例足的小关节骨软骨缘出现圆形缺损,2例有不整齐的穿凿样缺损,10例可见圆形致密影。 In the past 10 years, 42 cases of gouty arthritis were treated, including 40 males and 2 females; aged 40-65 years. The affected joints were mainly composed of the lower limbs. Thirty-eight cases (90.5%) of the first maxillary and metatarsophalangeal joints, three cases of the ankle joint and one case of the heel. Single joint involvement in 37 cases, multi-joint involvement in 5 cases. 42 cases of high blood uric acid. ESR> 20mm / h 36 cases. 33 cases of X-ray film, mostly soft tissue swelling, of which 8 cases of small articular surface of the cartilage margin of circular defects, 2 cases of uneven wear chisel-like defects, 10 cases can be seen round compact shadow.