摘要
[目的]分析总结腱鞘结核的病例特点、治疗经过，探讨该病的误诊影响因素及治疗转归，从而为临床诊治提供循证依据。[方法]回顾分析1994年1月～2006年6月间文献报道86例腱鞘病例，就其性别、年龄、病灶部位、临床表现、治疗经过及效果等进行统计学分析。[结果]高发年龄为30～49岁，占65％。男女性别比基本为1：1，发病部位右侧（67％）明显高于左侧（30％），以肿胀、压痛、活动障碍为主要表现，误诊率88％，复发率1．2％。[结论]临床症状体征不典型、实验室检查非特异性是导致腱鞘结核误诊的主要原因。局部病灶完整切除并全身化疗和（或）局部应用化疗药是治疗腱鞘结核的最佳治疗方案，复发率低。
[ Objective] To analysis the clinical manifestation and treatment of tendious sheath tubercular, probe the influencing factor of misdiagnosis and effect of treatment, in order to offer evident base for diagnosis and treatment. [ Method] The material of 86 cases （from January 1994 to Jun 2005） were reviewed and statistically analyzed ineluding sex, age, nidus region, clinical manifestation, method and effect of treatment, etc. [ Result] 65% of the eases were 30 -49 years old, Sexual difference was not significant. Nidus region in right side was apparently higher than that in left （67% ： 30% ） . Major manifestation was edema, tenderness and mal-motion. The misdiagnosis rate and reeurrent rate were 88% and 1. 2%. [ Conclusion] Untypical clinical symptoms and sign, non-special laboratory examinations lead to misdiagnosis, The effective treatment includes integrity excision, local and general chemotherapy, which made recurrent rate low.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2006年第21期1628-1631,共4页
Orthopedic Journal of China
关键词
结核
腱鞘
诊断
治疗
tubercular
tendinous sheath
diagnosis
treatment
