Shibata T, Shiraoka K, Takubo N
Arch Orthop Trauma Surg (1978). 1986;105(5):257-62. doi: 10.1007/BF00449922.
Ten surgical anterior capsulosynovectomies following Mori's four-block capsular incision technique in nine rheumatoid patients and 14 arthroscopic synovectomies utilizing a Wolf arthroscope with a large pituitary rongeur or a motorized intra-articular shaver in 11 patients were performed in our department. In three patients with bilateral involvement at nearly the same stage (III), we operated on the knees simultaneously, using open capsulosynovectomy on one side and arthroscopic synovectomy on the other side; we comparatively assessed the postoperative course, the subjective evaluation of the patients, and the follow-up results. Surgical intervention is milder in the arthroscopic operation, and postoperative knee pain during motion exercise is markedly less in the arthroscopically synovectomized knee. Although the postoperative management was more complex for open capsulosynovectomized knees, the results obtained at 1-2 months after synovectomy showed no significant difference between the two procedures.
在我们科室，对9例类风湿患者采用森氏四象限关节囊切开技术进行了10例手术性前路滑膜切除术，对11例患者使用带有大型垂体咬骨钳的Wolf关节镜或电动关节内刨削器进行了14例关节镜下滑膜切除术。在3例处于几乎相同阶段（III期）的双侧受累患者中，我们同时对双膝进行手术，一侧采用开放性滑膜切除术，另一侧采用关节镜下滑膜切除术；我们对术后病程、患者的主观评价以及随访结果进行了比较评估。关节镜手术的外科干预更温和，关节镜下滑膜切除的膝关节在运动锻炼期间的术后膝关节疼痛明显更少。尽管开放性滑膜切除的膝关节术后管理更复杂，但滑膜切除术后1至2个月获得的结果显示，两种手术方法之间没有显著差异。
