本文關(guān)鍵詞：微創(chuàng)針刀鏡治療慢性痛風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 療效 安全性 危險因素

【摘要】：目的:分析微創(chuàng)針刀鏡對慢性痛風的療效與安全性。方法:對233例住院并行膝/踝微創(chuàng)針刀鏡治療登記的痛風患者,根據(jù)病歷記載及電話隨訪,評價關(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)作的間隔時間、疼痛程度、持續(xù)時間。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)作的間隔時間明顯延長,發(fā)作時關(guān)節(jié)疼痛程度明顯減輕、持續(xù)時間縮短,與針刀鏡治療前比較,差異有統(tǒng)計學意義(P0.01)。3例患者(2例為2型糖尿病患者,1例為長期使用糖皮質(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)針刀鏡對慢性痛風有較好的療效和安全性,存在關(guān)節(jié)腔感染的風險。糖尿病和長期使用糖皮質(zhì)激素是引起關(guān)節(jié)腔感染的危險因素。
[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)藥大學第一附屬醫(yī)院風濕病科;
【分類號】：R687.4
【正文快照】： 慢性痛風,也稱之為痛風的慢性期,主要表現(xiàn)是存在痛風石,慢性關(guān)節(jié)炎、尿酸結(jié)石和痛風性腎炎及并發(fā)癥。此時痛風頻繁發(fā)作,身體部位開始出現(xiàn)痛風石,隨著時間的延長痛風石逐步變大。在關(guān)節(jié)方面,因其關(guān)節(jié)內(nèi)存在大量痛風石沉積,致關(guān)節(jié)腫痛頑固,持續(xù)時間長,藥物治療難度大。2012年以，

本文編號：1440732