膝关节弥漫性色素沉着绒毛结节滑膜炎关节镜手术加中药治疗观察

Observation of Arthroscopic Treatment and Traditional Chinese Medicine Therapy of Diffused Pigmented Villonodular Synovitis of The Knee

目的：观察中药对膝关节弥漫性色素沉着绒毛结节滑膜炎关节镜手术治疗后的作用。方法：本组9例，年龄15～58岁，平均39岁。病程15～36个月，平均21个月。采用常规前内上、前外上、前内下、前外下入路，再作后内、后外辅助入路及跨后纵隔入路。必要时辅助关节外小切口，将滑膜全切。所有患者均在术后附加利湿消肿中药口服。术后经过6～36个月随访，了解患膝活动度及功能情况。结果：最后随访膝关节活动度均超过120°，平均136．0°±3．5°，IKDC膝关节功能主观评分（82．9±5．0）分，Lysholm膝关节功能评分为（81．4±3．6）分。结论：在关节镜清理术后应用利湿消肿中药对于患肢疼痛缓解及肿胀消退具有明确疗效。

Objective：To observe the clinical results of arthroscopic treatment and traditional Chinese medicine therapy of dif fused pigmented villonodular synovitis. Methods ： 9 cases of diffused pigmented villonodular synovhis were treated by arthro scopic treatment and traditional Chinese medicine therapy, average age was 39 years old（ （range, 15-58years old）, with duration of average 21 months（range, 15 - 36months）, using rutine anterior approach combined with posteromadial, postero lateral and trans-posterior- septal approach. All the cases were treated by traditional Chinese medicine after the operation. The patients were followed up for 6-36 months ,and were evaluated for range of motion and function of the whole leg. Results：At the last follow- up, the range of motion was 136.0°±3.5° on average, IKDC subjective knee score was 82.9± 5.0,the Lysholm score was 81. 4 ± 3. 6. Conclusion： Traditional Chinese medicine have a great valuation In arthroscopic treatment of diffused pigmented villonodular synovitis of the knee.