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[手部和腕部滑膜结核的治疗算法:三例报告]

[Treatment algorithm in synovial tuberculosis of the hand and wrist: a report of three cases].

作者信息

Ozçelik Ismail Bülent, Aydin Atakan, Sezer Ilker, Oztaş Selahattin

机构信息

IST-EL Istanbul Hand Surgery, Microsurgery, and Rehabilitation Group, (IST-EL El Cerrahisi, Mikrocerrahi ve Rehabilitasyon Grubu), Istanbul, Turkey.

出版信息

Acta Orthop Traumatol Turc. 2006;40(3):255-9.

Abstract

Three patients with synovial tuberculosis are presented. Involvement was in the hand in one patient, and in the wrist in two patients. None of the patients had pulmonary tuberculosis or a family history of tuberculosis. Tuberculosis treatment was initiated only after histologic verification. The cultures remained negative. The patients received a 12-month course of multidrug chemotherapy for tuberculosis, resulting in symptomatic improvement and healing. There were no recurrences during a follow-up period of 16 to 26 months. Our clinical observations showed that tuberculosis tenosynovitis benefited well from antituberculosis chemotherapy.

摘要

本文报告了3例滑膜结核患者。其中1例累及手部,2例累及腕部。所有患者均无肺结核或结核家族史。仅在组织学确诊后才开始抗结核治疗。培养结果均为阴性。患者接受了为期12个月的多药联合抗结核化疗,症状得到改善且病灶愈合。在16至26个月的随访期内无复发。我们的临床观察表明,抗结核化疗对结核性腱鞘炎疗效良好。

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