Flügel M, Geldmacher J
Handchirurgie. 1978;10(1):15-8.
The incidence of gout has increased in recent years. For effective treatment an interdisciplinary approach is necessary. Medical therapy can be effectively supported by surgical removal of the tophi. This way normalisation of the uric-acid-pool can be achieved more quickly without additional harmful effects on the kidneys. Especially in the area of the hand surgical extirpation of the tophi can be gratifying, though it may be a difficult task. Severe restrictions in function of the hand can be corrected. This is demonstrated by the case of a 56 year old patient.
近年来痛风的发病率有所上升。为了进行有效治疗，采用多学科方法是必要的。通过手术切除痛风石可以有效地辅助药物治疗。这样可以更快地实现尿酸池的正常化，同时不会对肾脏产生额外的有害影响。尤其是在手部区域，虽然手术切除痛风石可能是一项艰巨的任务，但效果可能令人满意。手部功能的严重受限可以得到纠正。一名56岁患者的病例证明了这一点。
