摘要
目的探讨关节镜在青少年结核诊断和治疗中的作用及通过随访了解其近期疗效。方法对新疆维吾尔自治区人民医院2003年1月-2010年1月期间住院治疗的26例青少年膝关节结核患者行关节镜下滑膜切除关节清理手术,男性10例,女性16例,年龄范围12～18岁,膝关节结核左侧12例,右侧13例。只有1例为双侧发病。完善相关检查:血沉,拍片必要时CT等,术前进行Lysholm评分,术前、术后配合全身抗结核治疗和营养支持。结果 26例患者均行关节镜手术,术后均经病理检查确诊。诊治期间无并发症发生,随访6～12个月,所有患者膝关节症状基本消失,功能良好,Lysholm评分平均得分为82分,无结核病复发和关节内感染,未发现其他部位发生结核病,疗效满意。结论如青少年膝关节滑膜结核可能进一步发展为全关节结核可能时,也可早期进行关节镜探查与病灶滑膜切除。关节镜在处理青少年膝关节结核时近期疗效是满意的。
Objective To investigate the role of arthroscopy in the diagnosis and treatment of adolescent tuberculosis of the knee joint,and discuss its short-term curative effect by follow-up.Methods Twenty six cases received synovectomy by arthroscopy from January 2003 to January 2010.10 cases were male,14 female,their age were from 12 to 18 years old.There were 12 cases of left side knee,13 cases of right side knee,1 case of both sides knee.The erythrocyte sedimentation rate（ESR）,X-ray and CT（if necessary） were performed.The function of knee joints was evaluated by Lysholm score in every patient.And systematic antituberculous and nutrition support were performed preoperational and post operation.Results All 26 cases received synovectomy by arthroscopy and were confirmed by pathology.There was no complication during the treatment.The patients were follow-up for 6 months to 1 year.All symptoms disappeared.Lysholm average scores were 82.Tuberculosis was no recurrence.The curative effect was satisfactory.Conclusion For the cases with synovial tuberculosis that possibly develop into pan-knee-joint tuberculosis,the arthroscopy can early be performed in the diagnosis,synovectomy and focal cleaning.The Short-term curative effect of arthroscopy for the adolescent tuberculosis was satisfactory.
出处
《中华全科医学》
2011年第12期1870-1871,共2页
Chinese Journal of General Practice
关键词
结核
膝关节
关节镜术
Tuberculosis
Knee joint
Arthroscopy
