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Chinese Journal of Joint Surgery(Electronic Edition) ›› 2018, Vol. 12 ›› Issue (05): 716-721. doi: 10.3877/cma.j.issn.1674-134X.2018.05.021

Special Issue:

• Clinical Experience • Previous Articles     Next Articles

Value of naked eye analysis on rapid articular puncture fluid in diagnosis of joint diseases

Yongfa Jiang1,(), Jianqun Wu1, Weijie Lu2   

  1. 1. Department of Joint Surgery, Huadu District People’s Hospital of Guangzhou, Guangzhou 510800, China
    2. Department of Joint Surgery, The First Hospital of Guangzhou Medical University, Guangzhou 510120, China
  • Received:2018-01-12 Online:2018-10-01 Published:2018-10-01
  • Contact: Yongfa Jiang
  • About author:
    Corresponding author: Jiang Yongfa, Email:

Abstract:

Objective

To explore the clinical value of rapid joint puncture fluid naked eye analysis in rapid diagnosis of joint diseases.

Methods

From June 2015 to August 2017, 180 patients with knee, ankle or wrist diseases in Guangzhou Huadu District People’s Hospital were retrospectively analyzed. The characteristics of rapid articular puncture fluid (including color, diaphaneity, viscosity and so on) were observed through naked eye to assist diagnosis, combining with the diagnosis before and after puncture and the coincidence rate of final diagnosis, the contribution of naked eye character of rapid articular puncture fluid to joint disease diagnosis was analyzed. The inclusion criteria was patients with joint pain and joint effusion, and all were completed by the same physician, exclude criteria was patients who cannot complete the final diagnosis for various reasons.

Results

There were 168 cases of knee joint puncture, nine cases of ankle joint and three cases of wrist joint. All the patients had no complication such as infection caused by rapid puncture, vascular or nerve injury, etc. The rate of diagnosis before puncture was 88.3% and that after the puncture was 95.6%.

Conclusion

The analysis of the color, viscosity and transparency of the rapid articular puncture fluid under the naked eye has a certain reference value in the rapid diagnosis of joint diseases.

Key words: Knee joint, Punctures, Synovial fluid, Osteoarthritis, Ligaments, Wounds and injuries

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