CAJ | 학술논문

目的：探讨关节镜下射频气化联合酸氢钠灌洗治疗膝痛风性关节炎的疗效。方法对56例痛风性关节炎患者，术前碳酸氢钠灌洗，利用关节镜下射频气化清理膝关节痛风结石。结果56例患者膝关节疼痛均消失，随访时间16~38(24±4)个月，无复发。根据Lysholm膝关节评分方法，术前评分平均43.6分；术后终末复查评分平均89.8分，两者相比，差异有显著性(<0.05)。结论关节镜下利用射频气化联合碳酸氢钠灌洗清除关节内痛风结晶，具有效率高、清除完全，是一种见效快、创伤小、效果确切的治疗方法。
목적：탐토관절경하사빈기화연합산경납관세치료슬통풍성관절염적료효。방법대56례통풍성관절염환자，술전탄산경납관세，이용관절경하사빈기화청리슬관절통풍결석。결과56례환자슬관절동통균소실，수방시간16~38(24±4)개월，무복발。근거Lysholm슬관절평분방법，술전평분평균43.6분；술후종말복사평분평균89.8분，량자상비，차이유현저성(<0.05)。결론관절경하이용사빈기화연합탄산경납관세청제관절내통풍결정，구유효솔고、청제완전，시일충견효쾌、창상소、효과학절적치료방법。
Objective To explore the effect of radio frequency and sodium bicarbonate by arthroscope in treatment of knee gouty arthritis .Methods 56 patients with knee gouty arthritis were treated by sodium bicarbonate preoperatively and then gouty stone was cleared out with radio frequency and sodium bicarbonate by arthroscope.Results Pain in 56 patients was significantly alleviated postoperatively and no case recurred after fol owing up 16~38 (24±4)months . Lysholm score improved from 43.6 preoperatively to 89.8 postoperatively and the dif erence was statistical y significant ( <0.05).Conclusion That the treatment of knee gouty arthritis with radio frequency and sodium bicarbonate by arthroscope is rapid,micro-traumatic and effective for high ef iciency and completely clearing up.