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骨关节炎的粘弹性补充疗法

Viscosupplementation for osteoarthritis.

作者信息

Wright K E, Maurer S G, Di Cesare P E

机构信息

Musculoskeletal Research Center, Department of Orthopaedic Surgery, Hospital for Joint Diseases Orthopaedic Institute, New York, New York, USA.

出版信息

Am J Orthop (Belle Mead NJ). 2000 Feb;29(2):80-8; discussion 88-9.

PMID:10695858
Abstract

Viscosupplementation therapy can restore the elastic and viscous properties of synovial fluid and thus recreate the intra-articular joint homeostasis that is disrupted in the degenerative joint. Hyaluronan (hyaluronic acid) products have been developed and used for viscosupplementation therapy in osteoarthritis. Viscosupplementation treatments using these products are well tolerated. Because viscosupplementation therapy is based on the concept of replenishing a normal physiological component of synovial fluid and cartilaginous tissue, exogenous administration of hyaluronic acid has the potential to have few side effects or local or systemic reactions. Viscosupplementation represents an alternative treatment for patients with osteoarthritis in which oral medications and/or surgery are not options or are ineffective.

摘要

关节腔注射补充疗法可以恢复滑液的弹性和粘性特性,从而重建在退行性关节中被破坏的关节内稳态。透明质酸产品已被开发并用于骨关节炎的关节腔注射补充疗法。使用这些产品进行的关节腔注射补充治疗耐受性良好。由于关节腔注射补充疗法基于补充滑液和软骨组织正常生理成分的概念,外源性给予透明质酸可能具有很少的副作用或局部或全身反应。对于骨关节炎患者,当口服药物和/或手术不是选择或无效时,关节腔注射补充疗法是一种替代治疗方法。

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The pathophysiology of osteoarthritis and the implication of the use of hyaluronan and hylan as therapeutic agents in viscosupplementation.骨关节炎的病理生理学以及透明质酸和交联透明质酸作为治疗剂在粘性补充疗法中的应用。
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