痛风性关节炎_____痛风性关节炎；_膝关节；

急性膝关节痛风性关节炎关节镜下诊断与治疗

http://www.100md.com 《中国矫形外科杂志》 2006年第9期

痛风性关节炎,,痛风性关节炎；,膝关节；,关节镜；,诊断；,治疗,摘要,关键词,1临床资料,2讨论,参考文献

     摘要：[目的]提高对单纯膝关节起病的急性痛风性关节炎的诊断认识和治疗水平。[方法]回顾总结2000年以来关节镜检查发现的17例膝关节急性痛风性关节炎的诊治经过，经半年以上随访，进行疗效观察。[结果]17例病人中仅有5例疑及本病，余均误诊，全部病例在关节镜检查后发现确诊，并一期行镜下关节内清理术，术后配以系统药物等治疗，随访10~24个月，近期和远期均取得满意疗效。[结论]单纯以膝关节起病的急性痛风性关节炎少见，误诊率高，随着关节镜技术不断提高和广泛应用，其诊断率将会获得提高，同时亦为外科早期介入治疗急性痛风性关节炎增加了一个新的方法。

     关键词：痛风性关节炎；膝关节；关节镜；诊断；治疗

    Diagnosis and treatment of acute knee gout arthritis under arthroscopy∥ZHANG Yufei，WANG Dazheng,WANG Fusheng，et alDepartment of Orthopedics,the First Affiliated Hospital,Dalian Medical University,Dalian 116011

    Abstract：[Objective]To introduce the knowledge for the diagnosis of acute gout arthritis that attacked initially in the knee and improve its early treatment[Method]Seventeen cases with acute gout arthritis in the knee were diagnosed and treated under arthroscopy since 2000The experiences were analysed retrospectively and the therapatic results were observed through a followup of more than 6 months[Result]Before arthroscopy,only 5 cases were considered as acute gout arthritis,the other 12 cases were given a misdiagnosisAll the patients were diagnosed and given a debridment simutaneously under arthoscopyThen,the patients were given an postoperative systematic drugs therapyThe followup(ranged from 10 to 24 months)showed that all the patients acquired a shortterm and longterm satisfactory therapeutic effect[Conclusion]The acute gout arthritis attacked initially in the knee is rare and its misdiagnosis rate is very highThe significant improvement and extensive application of arthroscopic techniques will improve its diagnosis rate and provide a new way for its early surgical treatment ......

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