Rodriguez-Merchan E Carlos
Service of Traumatology, La Paz University Hospital, Madrid, Spain.
Semin Thromb Hemost. 2003 Feb;29(1):97-100. doi: 10.1055/s-2003-37943.
Radionuclide synovectomy, so-called radioactive synoviorthesis, is easy to perform and a not very expensive procedure (for example, 150 US dollars for an adult knee). Moreover, it is very efficient in diminishing the frequency and intensity of recurrent hemarthrosis related to chronic hypertrophic hemophilic synovitis. It should be performed as soon as possible in order to try to halt the long-term damage that intra-articular blood will produce in the involved joint. Personal experience and the general recommendation among orthopedic surgeons and hematologists is that when three early consecutive synoviortheses (repeated every 3 months) fail to halt synovitis, a surgical synovectomy (open or by arthroscopy) should be immediately considered.
放射性核素滑膜切除术，即所谓的放射性滑膜关节清除术，操作简便且费用不高（例如，成人膝关节手术费用为150美元）。此外，对于减少与慢性肥厚性血友病性滑膜炎相关的复发性关节积血的频率和强度非常有效。应尽快进行该手术，以试图阻止关节内出血对受累关节造成的长期损害。个人经验以及骨科医生和血液科医生的普遍建议是，当连续三次早期滑膜关节清除术（每3个月重复一次）未能阻止滑膜炎时，应立即考虑进行手术滑膜切除术（开放手术或关节镜手术）。
