Aral O, Clerc D, Bisson M, Massias P
Rev Rhum Mal Osteoartic. 1986 Apr;53(4):227-30.
The authors report a retrospective study of the diagnostic usefulness of synovial biopsy (SB) in 80 cases of unspecified forms of joint disease. SB was able to indicate the diagnosis in 23 (28.7%) of these patients. These 23 cases included 4 of the 15 cases (26.6%) of acute monoarticular arthritis, 5 (31.2%) of the 16 cases of acute oligopolyarthritis. In 6 cases (7.5%) SB was also responsible for the elimination of an initial diagnosis of septic arthritis. Overall, therefore, SB contributed to establishing a diagnosis and guiding therapy in 20 (36.2%) patients. Despite these rather low percentages, SB appears to be an essential examination, particularly in monoarticular arthritis, for the confirmation or exclusion of the diagnosis of conditions which present specific histologic signs and which require appropriate treatment.
作者报告了一项对80例未明确类型关节疾病患者进行滑膜活检（SB）诊断价值的回顾性研究。SB能够为其中23例（28.7%）患者明确诊断。这23例患者包括15例急性单关节炎中的4例（26.6%），16例急性少关节炎中的5例（31.2%）。在6例（7.5%）患者中，SB还排除了最初的化脓性关节炎诊断。因此，总体而言，SB有助于为20例（36.2%）患者确立诊断并指导治疗。尽管这些比例相对较低，但SB似乎是一项重要检查，尤其在单关节炎中，用于确认或排除具有特定组织学特征且需要适当治疗的疾病诊断。
