微创针刀镜治疗难治性膝关节急性痛风性关节炎的临床疗效  

Clinical efficacy of minimally invasive arthroscopy-assisted acupotomy in treatment of refractory acute gouty arthritis of knee joint

作　　者：接力刚[1] 韦嵩[1] 陈志煌[1] 李晓昊[1] 徐伟[1] 孙维峰[1] Jie Ligang Wei Song Chen Zhihuang Li Xiaohao Xu Wei Sun Weifeng.(Department of Traditional Chinese Medicine,General Hospital of Guangzhou Military Command of PLA, Guang-zhou 510010, China)

机构地区：[1]广州军区广州总医院中医科,广州510010

出　　处：《新医学》2017年第6期395-398,共4页Journal of New Medicine

基　　金：军队中医药研究重大专项(10ZYZ116)

摘　　要：目的探讨微创针刀镜治疗难治性膝关节痛风性关节炎的疗效。方法采用微创针刀镜联合内科药物治疗26例难治性膝关节痛风性关节炎患者。评定术前及术后4周Lysholm膝关节功能评分、疼痛视觉模拟评分法(VAS)评分,检测术前及术后的ESR、CRP和血尿酸等实验室指标。结果所有患者均顺利完成手术。术后4周Lysholm膝关节功能评分[(82.89±2.86)分vs.(42.88±3.29)分]及VAS评分[(3.21±0.81)分vs.(6.58±0.74)分]均优于术前(P均<0.05),ESR、CRP和血尿酸水平均较术前下降(P均<0.05)。所有患者均随访4个月,无明显复发病例。结论微创针刀镜能有效改善难治性膝关节痛风性关节炎患者的关节疼痛和恢复关节功能。Objective To evaluate the clinical efficacy of minimally invasive arthroscopy-assisted acupotomy in the treatment of refractory acute gouty arthritis of knee joint. Methods Twenty-six patients diag-nosed with refractory acute gouty arthritis of knee joint were treated with minimally invasive arthroscopy-assisted acupotomy and medical therapy. Lysholm knee score and visual analogue scale （VAS） score were assessed be-fore and 4 weeks after surgery. Erythrocyte sedimentation rate （ESR） , C-reactive protein （CRP） and blood uric acid levels and alternative laboratory parameters were measured before and after surgery. Results All pa-tients successfully completed the surgery. At postoperative 4 weeks,Lysholm knee score was 82. 89 ±2. 86 and VAS score was 3. 21 ±0. 81,significantly better compared with 42. 88 ±3. 29 and 6. 58 ±0. 74 before surgery （both P 〈 0. 05 ） , whereas the ESR,CPR and blood uric acid levels were considerably declined （ all P 〈 0. 05 ）. All patients were followed up for 4 months and no case recurred. Conclusion Minimally invasive ar-throscopy-assisted acupotomy can mitigate the pain and restore the function of knee joint in patients with refrac-tory acute gouty arthritis.

关 键 词：微创针刀镜 膝关节 痛风 

分 类 号：R589.7[医药卫生—内分泌]