急性膝关节痛风性关节炎关节镜下诊断与治疗  

Diagnosis and treatment of acute knee gout arthritis under arthroscopy

作　　者：张羽飞[1] 王大正 王福生[1] 王立德[1] 张卫国[1] 

机构地区：[1]大连医科大学附属第一医院骨科,116011 [2]辽宁省盘锦市第一人民医院骨科,124010

出　　处：《中国矫形外科杂志》2006年第9期672-673,共2页Orthopedic Journal of China

摘　　要：[目的]提高对单纯膝关节起病的急性痛风性关节炎的诊断认识和治疗水平。[方法]回顾总结2000年以来关节镜检查发现的17例膝关节急性痛风性关节炎的诊治经过，经半年以上随访，进行疗效观察。[结果]17例病人中仅有5例疑及本病，余均误诊，全部病例在关节镜检查后发现确诊，并一期行镜下关节内清理术，术后配以系统药物等治疗，随访10—24个月，近期和远期均取得满意疗效。[结论]单纯以膝关节起病的急性痛风性关节炎少见，误诊率高，随着关节镜技术不断提高和广泛应用，其诊断率将会获得提高，同时亦为外科早期介入治疗急性痛风性关节炎增加了一个新的方法。[ Objective ] To introduce the knowledge for the diagnosis of acute gout arthritis that attacked initially in the knee and improve its early treatment. [ Method] Seventeen cases with acute gout arthritis in the knee were diagnosed and treated under arthroscopy since 2000. The experiences were analysed retrospectively and the therapatic results were observed through a follow-up of more than 6 months. [ Result ] Before arthroscopy, only 5 cases were considered as acute gout arthritis, the other 12 cases were given a misdiagnosis. All the patients were diagnosed and given a debridment simutaneously under arthoscopy. Then, the patients were given an postoperative systematic drugs therapy. The follow-up （ranged from 10 to 24 months） showed that all the patients acquired a short-term and long-term satisfactory therapeutic effect. [ Conclusion] The a- cute gout arthritis attacked initially in the knee is rare and its misdiagnosis rate is very high. The significant improvement and extensive application of arthroscopic techniques will improve its diagnosis rate and provide a new way for its early surgical treatment.

关 键 词：痛风性关节炎 膝关节 关节镜 诊断 治疗 

分 类 号：R687[医药卫生—骨科学]