Copeland S A, Taylor J G
J Bone Joint Surg Br. 1979 Feb;61(1):69-73. doi: 10.1302/0301-620X.61B1.422636.
The results of thirty synovectomies of the elbow for rheumatoid arthritis are reported. Satisfactory relief of pain was obtained in twenty-seven elbows and the range of movement was improved in twenty-one. The classical operation includes excision of the radial head but in this series approximately half the radial heads were conserved with comparable results. The results of synovectomy do not significantly deteriorate with time up to ten years and the operation can be done with good results, especially in respect of relief of pain, even in elbows with relatively advanced rheumatoid disease. Radiographic assessment is not of much help in evaluating the results of the operation, but is essential in selection of elbows for synovectomy.
本文报告了30例类风湿性关节炎肘关节滑膜切除术的结果。27例肘关节疼痛得到了满意缓解，21例肘关节活动范围得到改善。经典手术包括切除桡骨头，但在本系列中，约一半的桡骨头得以保留，结果相当。滑膜切除术的效果在长达十年的时间里不会显著恶化，即使是在类风湿疾病相对晚期的肘关节，该手术也能取得良好效果，尤其是在缓解疼痛方面。影像学评估在评估手术效果方面帮助不大，但在选择进行滑膜切除术的肘关节时至关重要。
