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目的:探讨膝痛风性关节炎的关节镜治疗的临床疗效。方法:选取我院2006年至2009年共35例单膝痛风性关节炎患者,随机分为2组:A组22例,给予药物治疗,同时行关节镜下检查及清理术;B组13例,仅给予药物治疗。观察比较两组患者膝关节Lysholm评分、疼痛VAS评分,关节活动度ROM改善情况。结果:关节镜治疗组22例病例中无关节镜手术并发症发生,关节镜治疗组在Lysholm、VAS评分和关节活动度ROM方面明显优于药物治疗组。结论:膝痛风性关节炎关节镜下有较显著的特点,膝关节镜下清理术治疗膝痛风性关节炎具有良好疗效,为药物治疗膝痛风性关节炎提供了良好的辅助治疗方法。
Objective: To investigate the clinical efficacy of arthroscopic treatment of knee pain and rheumatoid arthritis. Methods: A total of 35 patients with unilateral knee gouty arthritis from 2006 to 2009 in our hospital were randomly divided into two groups: group A (n = 22), treated with drugs and underwent arthroscopic examination and clearing operation; group B (n = 13) , Only give medical treatment. The knee Lysholm score, pain VAS score and ROM ROM were compared between the two groups. Results: No arthroscopic complications occurred in the 22 cases of arthroscopic treatment group. The arthroscopic treatment group was superior to the drug treatment group in Lysholm, VAS score and ROM of ROM. CONCLUSIONS: Knee arthritis of the knee has more significant features under arthroscopy. Knee arthroscopy is a good adjuvant therapy for the treatment of knee osteoarthritis.