类风湿性手部腕背滑膜切除术的结果。

Results of dorsal wrist synovectomies in the rheumatoid hand.

作者信息

Brumfield R, Kuschner S H, Gellman H, Liles D N, Van Winckle G

机构信息

University of Southern California, Department of Orthopaedic Surgery, Rancho Los Amigos Medical Center, Downey.

出版信息

J Hand Surg Am. 1990 Sep;15(5):733-5. doi: 10.1016/0363-5023(90)90145-h.

DOI:10.1016/0363-5023(90)90145-h

PMID:2229968

Abstract

Seventy-eight patients with rheumatoid arthritis had 102 dorsal wrist tenosynovectomies, intraarticular synovectomies, and Darrach resection from 1962 to 1982. Follow-up after surgery averaged 11 years, with a range from 3 to 20 years. Pain was diminished in all but 17 wrists and motion decreased an average of 13 degrees. Synovitis recurred in 16 wrists and x-ray evidence of progressive intraarticular destruction was seen in 45 wrists. Revision surgery was necessary in 28 wrists.

摘要

1962年至1982年期间，78例类风湿性关节炎患者接受了102次腕背腱鞘切除术、关节内滑膜切除术和Darrach切除术。术后平均随访11年，范围为3至20年。除17只手腕外，其余所有手腕的疼痛均减轻，活动度平均下降13度。16只手腕出现滑膜炎复发，45只手腕出现关节内进行性破坏的X线证据。28只手腕需要进行翻修手术。