Goldberg V M
Instr Course Lect. 1984;33:404-11.
The success of early management of the inflamed synovial joint in rheumatoid arthritis depends on a team effort. The patient, rheumatologist, orthopaedist, social worker, and physical therapist must communicate with each other and understand the objectives of any treatment program. Present medical therapy is encouraging, but there is still a place for early surgical management. Synovectomy has a definite role, and with careful patient selection using appropriate criteria, satisfactory long-term results may be expected. Future treatment plans will no doubt use medical synovectomy to a greater extent and employ new isotopes, for example, 165Dy. Also, better objective techniques of identifying appropriate candidates with adequate articular cartilage remaining must be developed. No matter which path therapeutic modalities follow, it is necessary to continue developing objective criteria of assessing the long-term results of treatment so that standard methods of reporting follow-up can be used to make appropriate comparisons.
类风湿性关节炎中炎症性滑膜关节的早期管理成功与否取决于团队协作。患者、风湿病学家、骨科医生、社会工作者和物理治疗师必须相互沟通，并理解任何治疗方案的目标。目前的药物治疗令人鼓舞，但早期手术治疗仍有其用武之地。滑膜切除术有明确的作用，通过使用适当标准仔细选择患者，有望获得满意的长期效果。未来的治疗计划无疑将在更大程度上采用药物滑膜切除术，并使用新的同位素，例如165镝。此外，必须开发出更好的客观技术，以识别仍保留足够关节软骨的合适候选者。无论治疗方式遵循何种路径，都有必要继续制定评估治疗长期效果的客观标准，以便能够使用标准的随访报告方法进行适当比较。
