| 摘要: |
| ［摘要］ 目的 探讨关节镜治疗老年膝关节痛风性关节炎的效果。方法 回顾性分析2011-05～2016-05该院收治的45例(49膝)老年膝关节痛风性关节炎的临床资料。所有患者均行关节镜检查，切取滑膜组织病检，同时镜下处理关节内病变及行关节腔冲洗。手术前后进行饮食控制及药物治疗。比较患者手术前后膝关节疼痛VAS评分、关节活动度及Lysholm关节功能评分，分析其疗效。结果 结合术中所见及术后病理，所有患者确诊为膝关节痛风性关节炎。术后39例(41膝)随访11个月～5年，36例（38膝）症状不同程度消失或缓解、功能恢复，疗效评定优良率为84.6%。结论 关节镜能对老年膝关节痛风性关节炎作出明确诊断，镜下治疗可消除滑膜炎症、清理关节内尿酸盐结晶，有效改善疼痛症状和膝关节功能。 |
| 关键词: 痛风性关节炎 膝 关节镜 |
| DOI：10.3969/j.issn.1674-3806.2018.01.06 |
| 分类号:R 68 |
| 基金项目: |
|
| Arthroscopy for diagnosis and treatment of knee gouty arthritis in elderly patients: a report of 45 cases |
|
SHI Ze-feng, SUN Ke
|
|
Department of Orthopaedics, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
|
| Abstract: |
| ［Abstract］ Objective To investigate the clinical outcomes of arthroscopy for diagnosis and treatment of knee gouty arthritis in elderly patients.Methods From May 2011 to May 2016 in our hospital, the clinical data of 45 elderly patients with knee gouty arthritis in 49 knees were retrospectively analyzed. All the patients received examination and debridement simultaneously under arthroscopy. Both drug and dietary therapy were performed during the perioperative period. The clinical outcomes, including Visual Analogue Scores, range of motion and Lysholm knee scores were evaluated.Results Knee gouty arthritis was diagnosed by arthroscopy and pathology in all the cases. 39 cases with arthritis in 41 knees were followed up from 11 months to 5 years. The symptoms disappeared or improved in 36 cases with a good and excellent rate of 84.6%.Conclusion Arthroscopy is an effective method for diagnosis and treatment of knee gouty arthritis in elderly patients, with which pain relief and function improvement can be achieved through synovectomy and removement of the urate crystal. |
| Key words: Gouty arthritis Knee Arthroscopy |
