^(32)P-磷酸铬胶体放射性滑膜切除的初步观察  

THE PRELIMINARY APPLICATION OF RADIATION SYNOVECTOMY WITH ^(32)P-CHROMIC PHOSPHATE

作　　者：倪济苍[1] 李小放[1] 邓相华 柯银强[2] 

机构地区：[1]重庆医科大学第一医院核医学科 [2]重庆医科大学第一医院骨科

出　　处：《重庆医科大学学报》1989年第4期322-325,共4页Journal of Chongqing Medical University

摘　　要：对14例中23个慢性滑膜炎采用^(32)P胶体关节内注射,其中类风湿关节炎11例包括19个膝关节,1个肘关节;退行性骨关节病3例共3个关节,以上病例均经药物治疗效果不佳。治疗后一年随访结果,优效为43.5％,良效为30.5％、微效为13％、无效为13％。治疗后疗效与关节X片分期有关,X-片属Ⅰ及Ⅱ期(轻症)大多为优及良效,Ⅲ期者无1例获优效。本文资料表明,对慢性滑膜炎采用放射性滑膜切除优于药物治疗,是一项简单,安全,有效的方法。Twenty-three joints in 14 cases of chronic synovitis were treated with intra-articular injection of 32 p-chromic phosphate, including 19 knee joints, one elbow joint with rheumatoid arthritis and 3 knee joints with degenerative arthritis that was recractory to medical treatment. Results of 23 joints evaluated at end of one year were excellent in 43.5$, good in 30.5%, .fair in 13% and poor in 13%. There was a good correlation between the radiographic stage of the joints and the response to treatment. Patients in stage 1 and 2 were more likely to have good to excellent response. Cur study shows that radiation synovectomy is a simple, safe and effective treatment than other managements for chronic synovitis

关 键 词：滑膜炎 滑膜切除 磷32 磷酸铬 胶体 外科手术 

分 类 号：R686.705[医药卫生—骨科学]