[1]明文义,吴旭东,沈万祥,等.关节镜微创技术在急性膝关节 痛风性关节炎诊治中的应用[J].中医正骨,2012,24(02):20-21.
　MING Wen-yi*,WU Xu-dong,SHEN Wan-xiang,et al.Application of minitrauma arthroscopic tcchnique in the diagnosis and treatment of acute knee gout arthritis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2012,24(02):20-21.
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关节镜微创技术在急性膝关节 痛风性关节炎诊治中的应用()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第24卷
期数:
2012年02期
页码:
20-21
栏目:
临床研究
出版日期:
2012-02-25

文章信息/Info

Title:
Application of minitrauma arthroscopic tcchnique in the diagnosis and treatment of acute knee gout arthritis
作者:
明文义1; 吴旭东2; 沈万祥2; 戴海东2
1.温州医学院,浙江 温州 325000;
2.浙江省舟山市中医骨伤联合医院,浙江 舟山 316000
Author(s):
MING Wen-yi*; WU Xu-dong; SHEN Wan-xiang; DAI Hai-dong.*
Wenzhou Medical College,Wenzhou 325000,Zhejiang,China
关键词:
关节炎; 痛风性 膝 关节镜
Keywords:
Arthroscopy;  knee joint;  gout arthritis
摘要:
目的:探讨关节镜微创技术在急性膝关节痛风性关节炎诊断和治疗中的应用价值。方法:应用关节镜微创技术对33例(35个 膝关节)急性膝关节痛风性关节炎患者行滑膜刨削切除、半月板及关节软骨表面尿酸盐结晶体刮除,关节冲洗,术后配以药物治疗 。结果:29例关节镜下表现为关节内不同程度滑膜增生,滑膜、韧带、软骨和半月板上均有白垩状物的尿酸盐结晶,严重者关节软 骨和软骨下骨破坏、缺损。经6～36个月(平均18个月)随访,患者术后肿痛症状明显缓解。结论:应用关节镜微创技术治疗急性膝 关节痛风性关节炎,具有诊断明确、创伤小、方法简单的优点,疗效满意。
Abstract:
Objective:To explore the value of arthroscopy in the diagnosis and treatment of acute knee gout arthritis. Methods: 33 patients(35 knee joints)of knee gout arthritis were treated with synovectomy, urate crystals elimination and joint irrigation under arthroscopy, and systematic drug therapy after operation. Results: 29 cases existed different degree urate crystal adheres in joint cavity, synovial membrane hyperplasias and patellar cartilage injured. They were followed up for an average of 18(ranging from 6 to 36) months. All cases were relieved pain and swelling rapidly. Conclusion: The arthroscopic tcchnique was valuable in the diagnosis and treatment of acute knee gout arthritis, becase it is minitrauma, simple and effective way.

参考文献/References:

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备注/Memo

备注/Memo:
2011-03-12收稿 2011-07-30修回
更新日期/Last Update: 2012-02-25