Li Hong-liang, Li Shu-yuan, Li Chun-bao, Qui Wei, Qu Feng, Guo Qi, Shen Xue-zhen, Lu Xi, Liu Yu-jie, Wei Min
Zhongguo Gu Shang. 2016 Mar;29(3):258-60.
To evaluate the effects of arthroscopic debridement for acute gouty arthritis of the ankle.
Forty-one patients with acute gouty arthritis of the ankle were treated under arthroscopy from January 2010 to June 2012. All the patients were male, age in ranging from 28 to 69 years with an average of 43 years. Eighteen patients were in the left ankles and 23 in the right ankles; 12 cases were firstly attack and 29 cases were recurrent attack. Course of disease was from 2 weeks to 30 months. The American Orthopedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Scale score was used to evaluate the clinical effects. Number of acute attacks of gouty arthritis were observed.
All the patients were followed up at least 12 months. The mean AOFAS Ankle-Hindfoot Scale score increased from 58.44 +/- 9.45 preoperatively to 86.15 +/- 7.36, 83.41 +/- 9.22, 84.10 +/- 8.22 postoperatively at 6, 12, months and the last follow-up respectively. Swelling of the ankle were improved significantly, pain was relieved and the mean number of acute attacks of gouty arthritis decreased significantly.
Arthroscopy is helpful for the diagnosis of acute gouty arthritis of the ankle and improvement of clinical symptoms and ankle function.
评估关节镜下清创术治疗急性踝关节痛风性关节炎的效果。
2010年1月至2012年6月，对41例急性踝关节痛风性关节炎患者行关节镜下治疗。所有患者均为男性，年龄28～69岁，平均43岁。左侧踝关节18例，右侧踝关节23例；初发12例，复发29例。病程2周～30个月。采用美国矫形足踝协会（AOFAS）踝-后足评分系统评估临床疗效，观察痛风性关节炎急性发作次数。
所有患者均获至少12个月随访。AOFAS踝-后足评分术前为58.44±9.45，术后6个月、12个月及末次随访时分别为86.15±7.36、83.41±9.22、84.10±8.22。踝关节肿胀明显改善，疼痛缓解，痛风性关节炎急性发作次数明显减少。
关节镜检查有助于急性踝关节痛风性关节炎的诊断，并改善临床症状及踝关节功能。
