Żyluk Andrzej, Fliciński Filip
Department of General and Hand Surgery, Pomeranian Medical University in Szczecin, Poland.
Pol Przegl Chir. 2022 Feb 17;94(5):18-22. doi: 10.5604/01.3001.0015.7570.
<b> Introduction:</b> Gouty tophi occur in approx. 50-60% of patients suffering from gout. Their occurrence is related to severity of disease and effectiveness of treatment. They develop more frequently in patients with long lasting and poorly controlled disease.</br></br> <b>Aim:</b> The aim of the study was to evaluate the results of surgical treatment of gouty tophi of the upper and lower extremities. </br></br> <b>Materials and methods:</b> The results of surgical treatment of gouty tophi in the extremities in 14 patients, 13 men and 1 woman, at a mean age of 51 years, are presented. Twelve patients had tophi localized in the upper extremities, whereas 3 had tophi in the lower limbs (1 patient had upper and lower extremity involved). The duration of disease to the operation was a mean of 8 years. </br></br><b> Results:</b> Seven patients received excision of a single tophus, and the remaining patients had 3-15 operations performed due to multiple tophi over a period from 3 months to 2 years. The treatment outcomes were assessed at a mean of 3 years (range 2-8) after the last operation in a form of phone interview. </br></br> <b>Conclusions:</b> All patients declared satisfaction from the result of treatment. No case of complication or tumor recurrence was noted. The results confirm usefulness of surgical treatment in this form of gout.
引言：痛风石见于约50-60%的痛风患者。其出现与疾病严重程度及治疗效果有关。在病程长且控制不佳的患者中更易发生。
目的：本研究旨在评估上下肢痛风石手术治疗的结果。
材料与方法：报告了14例患者（13例男性，1例女性）四肢痛风石的手术治疗结果，平均年龄51岁。12例患者痛风石位于上肢，3例位于下肢（1例上下肢均有）。从发病到手术的平均病程为8年。
结果：7例患者接受了单个痛风石切除术，其余患者因多个痛风石在3个月至2年期间接受了3-15次手术。在最后一次手术后平均3年（范围2-8年）通过电话访谈的形式评估治疗结果。
结论：所有患者对治疗结果表示满意。未发现并发症或肿瘤复发病例。结果证实了这种形式的手术治疗对痛风的有效性。
