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目的探讨关节镜手术治疗膝关节痛风性关节炎的方法及疗效。方法应用关节镜微创技术对27例膝关节痛风性关节炎患者行关节清理、滑膜切除、半月板修整或切除及关节软骨修整,术后辅助药物治疗及功能康复练习。结果 27例痛风性关节炎患者术中均可见不同程度的尿酸盐结晶沉积,术后肿痛症状均得到明显缓解,关节功能得到改善,随访6~36个月均得到满意疗效。结论对于内科治疗无效,反复发作或痛风石形成的膝关节痛风性关节炎,关节镜手术治疗具有诊断明确、创伤小、方法简单、效果显著等优点,可作为膝关节痛风性关节炎的外科治疗首选方法。
Objective To investigate the method and efficacy of arthroscopic surgery for the treatment of gouty arthritis in the knee. Methods 27 cases of knee joint gouty arthritis were treated with arthroscopic minimally invasive technique for joint cleanup, synovectomy, meniscus trimming or resection, articular cartilage dressing, postoperative adjuvant drug therapy and functional rehabilitation. Results 27 cases of gouty arthritis patients were seen varying degrees of intraoperative urate crystal deposition postoperative swelling symptoms were significantly relieved, joint function improved, follow-up of 6 to 36 months were satisfactory results. Conclusion Gout arthritis with knee joint gout arthritis is ineffective, recurrent or toothache formation. The arthroscopic operation has the advantages of clear diagnosis, small trauma, simple method and obvious effect. It can be used as surgical treatment of knee gout arthritis Preferred method.