Rydholm U, Elborgh R, Ranstam J, Schröder A, Svantesson H, Lidgren L
J Bone Joint Surg Br. 1986 Mar;68(2):223-8. doi: 10.1302/0301-620X.68B2.3958007.
We report 60 synovectomies of the knee in 51 children with juvenile chronic arthritis. Synovitis had been present for an average of 5 years and the average age at operation was 13 years. Results were evaluated in terms of pain, knee movement, relapse of synovitis and radiological change during a follow-up averaging 7.5 years. The relief of pain was rewarding and there was a slight postoperative gain in range of knee movement in most cases. The older the patient at onset of disease, the greater the risk of pain during follow-up. Progressive joint destruction was more common in younger patients, those with systemic or polyarticular disease, and those with highly active disease at the time of operation. Recurrence of synovitis was more frequent in patients who had their operation in a phase of high disease activity; this occurred most often in patients with polyarticular disease.
我们报告了51例患有幼年慢性关节炎的儿童的60例膝关节滑膜切除术。滑膜炎平均存在5年，手术时的平均年龄为13岁。在平均7.5年的随访期间，根据疼痛、膝关节活动度、滑膜炎复发情况和放射学变化对结果进行评估。疼痛缓解效果显著，大多数病例术后膝关节活动范围略有增加。发病时患者年龄越大，随访期间疼痛风险越高。进行性关节破坏在较年轻的患者、患有全身或多关节疾病的患者以及手术时疾病高度活跃的患者中更为常见。滑膜炎复发在疾病活动度高的阶段接受手术的患者中更为频繁；这在多关节疾病患者中最常发生。
