摘要
目的探讨关节镜诊断和治疗痛风性关节炎的价值。方法应用关节镜微创技术行滑膜组织多点取样病理检查；同时行滑膜刨削切除、关节软骨表面尿酸盐结晶体刮除。结果38例术前诊断急性痛风性关节炎18例（47．37％），漏诊20例（52．63％）。经关节镜下所见及多点滑膜病理检查和滑膜切除。30例得到随访，时间1～10年。采用Lysholm临床评分系统对关节功能进行评估，术后1年平均评分97．6分（95～100分）。结论关节镜微创技术对急性痛风性关节诊断和治疗有极其重要的价值。
Objective To study the value of arthroscopy in the diagnosis and treatment of acute gouty arthritis.Methods Multiple points of synovial membrane were havested for histopathological examination and resected, and erasing urate crystals were removed under arthroscopy. Results Among 38 cases, 18 （47.37%） were diagnosed of acute gouty arthritis before operation,and the preoperative missed 20 cases （52. 63% ） were all finally diagnosed of acute gouty arthritis through pathologic examination. During the course of treatment, not only missing diagnosis was avoided, but also dose of medicine therapy was reduced after the operation. 30 cases were followed up. According to the clinical scoring system of Lysholm , the average score of the function was 97. 6（95 - 100） one year after operation. Conclusions Arthroscopy has very important value in the diagnosis and treatment of acute gouty arthritis.
出处
《临床骨科杂志》
2007年第6期533-535,共3页
Journal of Clinical Orthopaedics
