四肢痛风石的手术技巧及治疗体会  

Surgical treatment of tophaceous gout in the extremities

作　　者：刘悦娇[1] 黄东旭[1] 李秀存[1] 孙浩然[1] 路来金[1] 崔建礼[1] 

机构地区：[1]吉林大学第一医院手足外科,长春130021

出　　处：《中华手外科杂志》2017年第2期118-120,共3页Chinese Journal of Hand Surgery

摘　　要：目的探讨四肢痛风石的手术切除技巧及临床治疗体会。方法自2009年2月至2016年2月，我们对149例四肢痛风石患者进行手术治疗，并于术后3周、6周、3个月、6个月复查，指导功能锻炼。结果术后共84例患者获得完整随访，随访时间1年6个月至7年5个月，平均2年5个月，所有患者对四肢外形满意，上肢受累关节活动度明显提高，下肢关节承重无疼痛。结论四肢痛风石患者一旦出现关节受累就应尽早接受手术治疗，手术切除痛风石不仅减轻了机体尿酸盐的总负荷，降低了痛风性关节炎的发作频率，更是改善肢体外形及关节功能的有效途径。Objective To review some clinical experiences during the treatment ot patients with tophus in the extremities, with a focus on the techniques in surgical procedures. Methods From February 2009 to February 2016, a total of 149 patients with chronic tophaceous gout of the extremities underwent surgical treatment at our center. The patients were follow-up at 3 weeks, 6 weeks, 3 months and 6 months postoperatively to guide functional exercises. Results After the initial surgery, 84 patients were follow-up from 1.5 to 7.4 years, with a mean duration of 2.4 years. All the patients were satisfied with the appearance. The fimction had greatly been improved. Range of motion of the upper limbs was increased significantly and the joints of the lower limbs had no weight-bearing pain. Conclusion Surgical removal should be performed at once when there is joint stiffness to prevent the joint erosion. The incidence of acute attacks can be reduced and the systematic uric acid load can be reduced as well. The available surgical interventions are the most efficient approach to improve the appearance and joint function.

关 键 词：四肢 外科手术 痛风石 

分 类 号：R687.3[医药卫生—骨科学]