关节镜微创手术治疗膝关节痛风性关节炎的效果观察

Observation of Arthroscopic Minimally Invasive Operation in the Treatment of Knee Gouty Arthritis

目的通过试验观察关节镜微创手术治疗膝关节痛风性关节炎的临床效果。方法对50例膝关节痛风性关节炎的患者进行关节镜下常规手术治疗,术后坚持用药,比较患者手术前后的膝关节功能变化,观察关节镜手术的临床疗效。结果经过2年的随访,所有患者手术切口均为Ⅰ期愈合。术后患者的Lysholm评分和VAS评分均明显优于术前,P<0.05,差异有统计学意义。手术后患者的膝关节功能均明显改善,P<0.05,差异有统计学意义。本组50例患者接受手术治疗3周后,治愈19例,显效22例,无效6例,总有效率88%。结论关节镜手术对于治疗患者膝关节痛风性关节炎的临床效果良好,疗效较为满意,建议临床广泛应用关节镜微创手术治疗患者的膝关节痛风性关节炎。

Objective By the experimental observation of arthroscopy of minimally invasive surgery in the treatment of gouty arthritis of knee joint effect. Methods 50 cases of patients with gouty arthritis of knee joint arthroscope under conventional surgery, postoperative medication, more patients of knee joint function changes before and after operation, observe the clinical effects of arthroscopic surgery. Results After 2 years of follow-up, all patients incision were I healing. Postoperatively, the Lysholm score and VAS scores were significantly better than preoperative, P〈0.05, the difference was statistically significant. After surgery in patients with knee joint function were improved significantly, P〈0.05, the difference was statistically significant. This group of 50 cases received surgical treatment for 3 weeks, 19 cases cured, 22 cases were markedly effective, 6 no effect, the total effective rate was 88%. Conclusion Arthroscopic surgery for the treatment of patients with gouty arthritis of knee joint clinical effect is good, obtained satisfactory curative effect, suggested that clinical widely used arthroscopy minimally invasive surgical treatment of patients with gouty arthritis of knee joint.