微创治疗膝关节痛风性关节炎27例疗效观察  

THE CURATIVE EFFECT OF MINIMALLY INVASIVE TREATMENT OF 27 CASE OF GOUTY ARTHRITIS OF KNEE JOINT

作　　者：陶建峰[1] 王爱军[1] 陈德生[1] 赵立彦[2] 

机构地区：[1]河北省唐山市第二医院,063000 [2]河北联合大学附属医院

出　　处：《中国煤炭工业医学杂志》2014年第11期1777-1779,共3页Chinese Journal of Coal Industry Medicine

摘　　要：目的 探讨关节镜手术治疗膝关节痛风性关节炎的方法及疗效。方法 应用关节镜微创技术对27例膝关节痛风性关节炎患者行关节清理、滑膜切除、半月板修整或切除及关节软骨修整,术后辅助药物治疗及功能康复练习。结果 27例痛风性关节炎患者术中均可见不同程度的尿酸盐结晶沉积,术后肿痛症状均得到明显缓解,关节功能得到改善,随访6~36个月均得到满意疗效。结论 对于内科治疗无效,反复发作或痛风石形成的膝关节痛风性关节炎,关节镜手术治疗具有诊断明确、创伤小、方法简单、效果显著等优点,可作为膝关节痛风性关节炎的外科治疗首选方法。Objective To investigate the methods and efficacy of arthroscopic surgical treatment of knee gouty arthritis.Methods Arthroscopic minimally invasive techniques which included joint clean-up,synovectomy,trimming or removal of the meniscus and articular cartilage dressing were used in 27 patients with knee gouty arthritis,postoperative assisted drug treatment and functional rehabilitation exercises.Results Twenty-seven patients with gouty arthritis were seen in different levels of urate crystal deposition,postoperative swelling and pain symptoms were eased significantly improved joint function,the outcome of followed up for 6~36 months were satisfied.Conclusions Arthroscopic surgery in the treatment of gouty arthritis of the knee has a clear diagnosis,less invasive,simple method,significant effect.It can be used as the preferred method of surgical treatment of knee gouty arthritis.

关 键 词：微创治疗 关节镜 膝 关节炎 痛风 

分 类 号：R681.8[医药卫生—骨科学]