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钇[90Y]胶体用于类风湿关节炎及相关适应症的膝关节放射性滑膜切除术的治疗现状。

Therapeutic status of radiosynoviorthesis of the knee with yttrium [90Y] colloid in rheumatoid arthritis and related indications.

作者信息

Kampen W U, Voth M, Pinkert J, Krause A

机构信息

Clinic of Nuclear Medicine, University Hospital Schleswig-Holstein, Campus Kiel, Germany.

出版信息

Rheumatology (Oxford). 2007 Jan;46(1):16-24. doi: 10.1093/rheumatology/kel352. Epub 2006 Oct 25.

DOI:10.1093/rheumatology/kel352
PMID:17065191
Abstract

Radiosynoviorthesis (RSO) with an yttrium-90 colloid offers a local and minimally invasive therapy for treating inflammatory hypertrophy of the synovial membrane of the knee that has arisen from numerous kinds of disorder: these include rheumatoid arthritis (RA), osteoarthritis (OA), spondyloarthropathy, villonodular synovitis and others. There is substantial evidence that this treatment is efficacious and that, in view of the benefits that it offers, its tolerability and safety are very good. Administration should be restricted to patients in whom other therapies (including locally injected corticoids) have failed, and proper attention must be paid to correct administration, including post-treatment immobilization and the co-administration of corticoids, to minimize the risk of leakage and of efflux through the puncture channel.

摘要

用钇-90胶体进行放射性滑膜切除术(RSO)为治疗因多种病症引起的膝关节滑膜炎症性肥大提供了一种局部且微创的治疗方法:这些病症包括类风湿性关节炎(RA)、骨关节炎(OA)、脊柱关节病、绒毛结节性滑膜炎等。有大量证据表明这种治疗是有效的,并且鉴于其带来的益处,其耐受性和安全性非常好。给药应限于其他治疗方法(包括局部注射皮质类固醇)均无效的患者,并且必须适当注意正确给药,包括治疗后固定以及皮质类固醇的联合使用,以尽量减少渗漏和通过穿刺通道流出的风险。

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1
Therapeutic status of radiosynoviorthesis of the knee with yttrium [90Y] colloid in rheumatoid arthritis and related indications.钇[90Y]胶体用于类风湿关节炎及相关适应症的膝关节放射性滑膜切除术的治疗现状。
Rheumatology (Oxford). 2007 Jan;46(1):16-24. doi: 10.1093/rheumatology/kel352. Epub 2006 Oct 25.
2
Radiosynoviorthesis of medium-sized joints with rhenium-186-sulphide colloid: a review of the literature.使用铼-186硫化物胶体对中型关节进行放射性滑膜切除术:文献综述
Rheumatology (Oxford). 2007 Oct;46(10):1531-7. doi: 10.1093/rheumatology/kem155. Epub 2007 Jun 27.
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[Principles of radiosynoviorthesis].[放射性滑膜切除术的原理]
Schweiz Med Wochenschr. 1990 May 5;120(18):676-9.
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[Effectiveness evaluation of knee joint 90Y radiosynovectomy].膝关节90Y放射性滑膜切除术的疗效评估
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Intraarticular tereatment with 90Y and 198Au of chronic synovitis in rheumatoid knee joints.
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[Effect of radiation synovectomy using Yttrium 90Y on synovial fluid rheumatoid factor activity in progressive polyarthritis with chronic synovitis of the knee joint].[钇90Y放射性滑膜切除术对膝关节慢性滑膜炎的进行性多关节炎患者滑液类风湿因子活性的影响]
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[Radiation synovectomy with yttrium 90 and rhenium 186 in rheumatoid arthritis, long term follow-up and effects on synovial membrane].[类风湿关节炎中钇90和铼186放射性滑膜切除术的长期随访及对滑膜的影响]
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[Radiosynoviorthesis: therapeutic possibility in arthrosis?].
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