CAJ | 학술논문

目的：观察关节镜在不同膝关节滑膜病变中的诊断、治疗作用,分析不同病变的临床疗效。方法选取50例关节镜下诊断、治疗的膝关节滑膜病变患者为研究对象,术前拟诊为类风湿性关节炎10例,色素沉着绒毛结节性滑膜炎11例,膝关节慢性感染5例,慢性非特异性滑膜炎12例,膝关节滑膜结核5例,半月板损伤4例,不明原因3例,记录关节镜对膝关节滑膜病变的诊治效果。结果关节镜结合病理检查结果,术后10例患者更正临床诊断,所有伤口均一期愈合,无严重并发症发生。出院后所有患者均获得随访,6例色素沉着绒毛结节性滑膜炎,2例类风湿性关节炎,1例滑膜结核,1例慢性非特异性滑膜炎术后复发,其余患者术后膝关节功能均获得显著改善,总有效率80.0%。结论关节镜检查有利于明确诊断,而且微创可彻底切除病变的滑膜组织,耐受性好。
목적：관찰관절경재불동슬관절활막병변중적진단、치료작용,분석불동병변적림상료효。방법선취50례관절경하진단、치료적슬관절활막병변환자위연구대상,술전의진위류풍습성관절염10례,색소침착융모결절성활막염11례,슬관절만성감염5례,만성비특이성활막염12례,슬관절활막결핵5례,반월판손상4례,불명원인3례,기록관절경대슬관절활막병변적진치효과。결과관절경결합병리검사결과,술후10례환자경정림상진단,소유상구균일기유합,무엄중병발증발생。출원후소유환자균획득수방,6례색소침착융모결절성활막염,2례류풍습성관절염,1례활막결핵,1례만성비특이성활막염술후복발,기여환자술후슬관절공능균획득현저개선,총유효솔80.0%。결론관절경검사유리우명학진단,이차미창가철저절제병변적활막조직,내수성호。
Objective To investigate the value of arthroscope in the diagnosis and treatment of knee synovitis. Methods 50 cases of knee synovitis diagnosed by arthroscopy and treated by endoscopic synovectomy were studied. There were 10 cases with rheumatoid arthritis, 11 cases with pigmented villonodular synovitis,5 cases with chronic infection of knee joint,12 cases with chronic non-specific synovitis,5 ca-ses with tuberculous synovitis of the knee,4 cases with meniscus injury,3 cases with unknown cause. The efficacy of the treatment was recor-ded. Results All these cases were clearly diagnosed by microscopic examination combined with synovial pathological examination,and 10 cases were corrected with clinical diagnosis post-operation. All cases received primary healing without serious complications. All cases were followed up,and 6 cases of pigmented villonodular synovitis,2 cases of rheumatoid arthritis,1 case of chronic non-specific synovitis and 1 case of tuberculous synovitis of the knee had recurred. The total effective rate was 80. 0%. Conclusion The application of arthroscopy and syno-vial biopsy was effective in diagnosis. Arthroscopic synovectomy had good effect on treatment with less trauma and complications.