本文關(guān)鍵詞：微創(chuàng)針刀鏡治療慢性痛風(fēng)233例臨床觀察　出處：《中華中醫(yī)藥雜志》2017年10期 　論文類型：期刊論文

  更多相關(guān)文章： 微創(chuàng)針刀鏡 慢性痛風(fēng) 療效 安全性 危險(xiǎn)因素

【摘要】：目的:分析微創(chuàng)針刀鏡對(duì)慢性痛風(fēng)的療效與安全性。方法:對(duì)233例住院并行膝/踝微創(chuàng)針刀鏡治療登記的痛風(fēng)患者,根據(jù)病歷記載及電話隨訪,評(píng)價(jià)關(guān)節(jié)疼痛術(shù)前術(shù)后的變化;術(shù)后1年關(guān)節(jié)腫痛的復(fù)發(fā)率;術(shù)后發(fā)作的間隔時(shí)間、疼痛程度、持續(xù)時(shí)間。結(jié)果:患者術(shù)后關(guān)節(jié)腫痛減輕率100%,關(guān)節(jié)腫痛消失率70.3%。在1年電話及門診隨訪觀察中發(fā)現(xiàn),術(shù)后關(guān)節(jié)腫痛82%未再發(fā)作,16%有再次發(fā)作,但發(fā)作的間隔時(shí)間明顯延長(zhǎng),發(fā)作時(shí)關(guān)節(jié)疼痛程度明顯減輕、持續(xù)時(shí)間縮短,與針刀鏡治療前比較,差異有統(tǒng)計(jì)學(xué)意義(P0.01)。3例患者(2例為2型糖尿病患者,1例為長(zhǎng)期使用糖皮質(zhì)激素患者)術(shù)后發(fā)生膝關(guān)節(jié)感染,發(fā)生率1.29%。其余不良反應(yīng)未發(fā)現(xiàn)。結(jié)論:微創(chuàng)針刀鏡對(duì)慢性痛風(fēng)有較好的療效和安全性,存在關(guān)節(jié)腔感染的風(fēng)險(xiǎn)。糖尿病和長(zhǎng)期使用糖皮質(zhì)激素是引起關(guān)節(jié)腔感染的危險(xiǎn)因素。
[Abstract]:Objective: to analyze the efficacy and safety of minimally invasive needle scalpel in the treatment of chronic gout. Methods: 233 patients with chronic gout who were hospitalized with knee / ankle minimally invasive needle knife were followed up by telephone according to medical records. To evaluate the changes of joint pain before and after operation. Recurrence rate of joint swelling and pain 1 year after operation; Results: the postoperative joint swelling and pain relief rate was 100%, and the joint pain disappeared rate was 70.3%. 82% cases of joint swelling and pain did not re-attack in 82%, but the interval of attack was significantly prolonged, the degree of joint pain was obviously alleviated and the duration was shortened during the attack, which was compared with that before the treatment with needle knife and endoscope. The difference was statistically significant in 2 patients with type 2 diabetes mellitus and 1 patient with long-term use of glucocorticoid. The incidence rate was 1.29.The other adverse reactions were not found. Conclusion: minimally invasive needle knife and mirror has better curative effect and safety for chronic gout. Diabetes and long-term use of glucocorticoid are risk factors for articular infection.
【作者單位】： 廣州中醫(yī)藥大學(xué)第一附屬醫(yī)院風(fēng)濕病科;
【分類號(hào)】：R687.4
【正文快照】： 慢性痛風(fēng),也稱之為痛風(fēng)的慢性期,主要表現(xiàn)是存在痛風(fēng)石,慢性關(guān)節(jié)炎、尿酸結(jié)石和痛風(fēng)性腎炎及并發(fā)癥。此時(shí)痛風(fēng)頻繁發(fā)作,身體部位開始出現(xiàn)痛風(fēng)石,隨著時(shí)間的延長(zhǎng)痛風(fēng)石逐步變大。在關(guān)節(jié)方面,因其關(guān)節(jié)內(nèi)存在大量痛風(fēng)石沉積,致關(guān)節(jié)腫痛頑固,持續(xù)時(shí)間長(zhǎng),藥物治療難度大。2012年以，

本文編號(hào)：1440732