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滑膜活检的应用。

Utility of synovial biopsy.

机构信息

Department of Endocrinology, Diabetology, and Rheumatology, Heinrich Heine University, 40225 Düsseldorf, Germany.

出版信息

Arthritis Res Ther. 2009;11(6):256. doi: 10.1186/ar2847. Epub 2009 Nov 23.

DOI:10.1186/ar2847
PMID:19951395
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3003519/
Abstract

Synovial biopsies, gained either by blind needle biopsy or minimally invasive arthroscopy, offer additional information in certain clinical situations where routine assessment has not permitted a certain diagnosis. In research settings, synovial histology and modern applications of molecular biology increase our insight into pathogenesis and enable responses to treatment with new therapeutic agents to be assessed directly at the pathophysiological level. This review focuses on the diagnostic usefulness of synovial biopsies in the light of actual developments.

摘要

滑膜活检可以通过盲检或微创关节镜检查获得,在常规评估无法确定明确诊断的某些临床情况下,提供了更多信息。在研究环境中,滑膜组织学和分子生物学的现代应用增加了我们对发病机制的认识,并使我们能够直接在病理生理学水平上评估新治疗药物的治疗反应。本综述根据实际进展,重点讨论了滑膜活检的诊断价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f7b/3003519/777e637647e3/ar2847-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f7b/3003519/55b3e4ae47d1/ar2847-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f7b/3003519/777e637647e3/ar2847-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f7b/3003519/55b3e4ae47d1/ar2847-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f7b/3003519/777e637647e3/ar2847-2.jpg

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本文引用的文献

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2
Arthroscopic elimination of monosodium urate deposition of the first metatarsophalangeal joint reduces the recurrence of gout.关节镜下清除第一跖趾关节的尿酸钠沉积可降低痛风复发率。
Arthroscopy. 2009 Feb;25(2):153-8. doi: 10.1016/j.arthro.2008.09.002.
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Monoarthritis of the knee with unusual lesions in adults associated with varicella-zoster virus infection.成人膝关节单关节炎伴不寻常病变与水痘-带状疱疹病毒感染相关。
类风湿关节炎患者最佳治疗药物选择的生物标志物研究现状。
Int J Mol Sci. 2021 Sep 2;22(17):9534. doi: 10.3390/ijms22179534.
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Patient-reported outcomes and safety in patients undergoing synovial biopsy: comparison of ultrasound-guided needle biopsy, ultrasound-guided portal and forceps and arthroscopic-guided synovial biopsy techniques in five centres across Europe.接受滑膜活检患者的患者报告结局和安全性:欧洲五个中心超声引导下针吸活检、超声引导下经皮穿刺钳取活检与关节镜引导下滑膜活检技术的比较
RMD Open. 2018 Oct 26;4(2):e000799. doi: 10.1136/rmdopen-2018-000799. eCollection 2018.
5
Inhomogeneity of immune cell composition in the synovial sublining: linear mixed modelling indicates differences in distribution and spatial decline of CD68+ macrophages in osteoarthritis and rheumatoid arthritis.滑膜下层免疫细胞组成的不均匀性:线性混合模型表明骨关节炎和类风湿关节炎中CD68 +巨噬细胞的分布和空间衰减存在差异。
Arthritis Res Ther. 2016 Jul 16;18:170. doi: 10.1186/s13075-016-1057-3.
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Sports-related changes of the synovial membrane.滑膜的运动相关变化。
Joints. 2015 Feb 13;2(4):181-7. eCollection 2014 Oct-Dec.
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Utility of arthroscopic guided synovial biopsy in understanding synovial tissue pathology in health and disease states.关节镜引导下滑膜活检在了解健康和疾病状态下滑膜组织病理学方面的作用。
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