摘要
临床上痛风性膝关节炎并不少见,药物治疗是主要的治疗措施,但部分患者单纯内科治疗效果欠佳。对这类患者辅助进行外科治疗可以有效的缓解疼痛,改善关节功能,可以采用微创的关节镜手术方式减少痛风沉积,对于晚期痛风性关节炎患者全膝关节置换术是一种良好选择,精细手术操作和良好围手术期管理可以降低围手术期并发症几率。手术不能去除所有的痛风结晶,手术后需要继续坚持长期内科降尿酸治疗。
get poor consequences to the conservative treatment.On other hand,the assisted surgical treatment for these patients can effectively relieve pain and improve joint function.Minimally invasive arthroscopic surgery can be used to reduce gout deposition.It is a good choice for joint arthroplasty in patients with advanced gouty arthritis.And good perioperative management can reduce the risk of perioperative complications.Surgical treatments can not remove all the tophaceous tissue,therefore adjuvant longterm antiurate drug therapy is still recommended.
作者
范猛
姜文学
FAN Meng;JIANG Wen-xue(The First Center Hospital of Tianjin City,Tianjin300192,China)
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2019年第7期623-626,共4页
Orthopedic Journal of China
关键词
痛风性膝关节炎
手术治疗
关节镜
knee gouty arthritis
surgical treatment
arthroscopy