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  

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] 

机构地区：[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

出　　处：《中医正骨》2012年第2期20-21,共2页The Journal of Traditional Chinese Orthopedics and Traumatology

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。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 synoveetomy, 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 arthroscopie technique was valuable in the diagnosis and treatment of acute knee gout arthritis, becase it is minitrauma, simple and effective way.

关 键 词：关节炎 痛风性 膝 关节镜 

分 类 号：R687.4[医药卫生—骨科学]